Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $275.42 / $562.34	Facility		$158.49	$275.42	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $81.28 / $169.82	Professional		$57.54	$81.28	$169.82
Cigna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $141.25 / $251.19	Facility		$131.83	$141.25	$251.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $107.15 / $177.83	Professional		$67.61	$107.15	$177.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $107.15 / $147.91	Professional		$102.33	$107.15	$147.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $281.84 / $446.68	Facility		$177.83	$281.84	$446.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $97.72 / $169.82	Professional		$67.61	$97.72	$169.82
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $131.83 / $204.17	Facility		$117.49	$131.83	$204.17
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $85.11 / $154.88	Professional		$61.66	$85.11	$154.88