Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $41.92 / $41.92 / $41.92	Facility	26	$41.92	$41.92	$41.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.09 / $237.27 / $341.51	Professional		$181.09	$237.27	$341.51
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $41.92 / $53.46 / $75.13	Professional	26	$41.92	$53.46	$75.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.36 / $302.13 / $531.11	Professional		$178.36	$302.13	$531.11
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $37.88 / $68.48 / $120.25	Professional	26	$37.88	$68.48	$120.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $380.71 / $500.04 / $647.12	Professional		$380.71	$500.04	$647.12
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $61.11 / $78.36 / $101.46	Professional	26	$61.11	$78.36	$101.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.44 / $241.41 / $409.04	Professional		$195.44	$241.41	$409.04
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $42.88 / $51.92 / $154.59	Professional	26	$42.88	$51.92	$154.59
United Facility/Professional Professional Modifier Low / Median / High Price $150.52 / $242.16 / $431.45	Professional		$150.52	$242.16	$431.45
United Facility/Professional Professional Modifier 26 Low / Median / High Price $32.82 / $55.58 / $92.51	Professional	26	$32.82	$55.58	$92.51