Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $150.05 / $150.05 / $701.40	Facility		$150.05	$150.05	$701.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.79 / $153.97 / $183.18	Professional		$130.79	$153.97	$183.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.19 / $151.99 / $176.72	Facility		$129.19	$151.99	$176.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.94 / $216.11 / $363.16	Professional		$123.94	$216.11	$363.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $187.77 / $204.28 / $309.19	Professional		$187.77	$204.28	$309.19
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.52 / $57.27 / $173.51	Professional		$47.52	$57.27	$173.51
United Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $176.47 / $283.06	Professional		$113.55	$176.47	$283.06