Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $174.23 / $174.23 / $1,193.00	Facility		$174.23	$174.23	$1,193.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.23 / $201.79 / $265.37	Professional		$174.23	$201.79	$265.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $268.00 / $423.39 / $508.67	Facility		$268.00	$423.39	$508.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.00 / $401.00 / $473.00	Professional		$225.00	$401.00	$473.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $290.27 / $290.27 / $290.27	Professional		$290.27	$290.27	$290.27
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $360.81 / $416.84 / $432.79	Facility		$360.81	$416.84	$432.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $185.79 / $266.83 / $420.22	Professional		$185.79	$266.83	$420.22
United Facility/Professional Facility Modifier Low / Median / High Price $241.66 / $291.89 / $410.47	Facility		$241.66	$291.89	$410.47
United Facility/Professional Professional Modifier Low / Median / High Price $145.91 / $189.32 / $354.50	Professional		$145.91	$189.32	$354.50