Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.62 / $53.96 / $89.80	Facility		$52.62	$53.96	$89.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.45 / $85.61 / $113.68	Professional		$68.45	$85.61	$113.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $82.23 / $82.23 / $89.70	Facility		$82.23	$82.23	$89.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $117.88 / $201.62	Professional		$67.80	$117.88	$201.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $128.44 / $148.07 / $166.18	Professional		$128.44	$148.07	$166.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $325.63 / $376.22 / $390.62	Facility		$325.63	$376.22	$390.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.76 / $99.71 / $148.51	Professional		$77.76	$99.71	$148.51
United Facility/Professional Professional Modifier Low / Median / High Price $71.26 / $118.47 / $185.61	Professional		$71.26	$118.47	$185.61