Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.96 / $99.55 / $111.91	Facility		$81.96	$99.55	$111.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $59.91 / $111.91	Professional		$37.92	$59.91	$111.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $108.75 / $492.34	Facility		$67.84	$108.75	$492.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $78.42 / $185.38	Professional		$39.81	$78.42	$185.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $65.73 / $84.52 / $110.89	Professional		$65.73	$84.52	$110.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.09 / $223.16 / $453.25	Facility		$180.09	$223.16	$453.25
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.67 / $59.09 / $155.99	Professional		$46.67	$59.09	$155.99
United Facility/Professional Professional Modifier Low / Median / High Price $44.90 / $67.76 / $132.40	Professional		$44.90	$67.76	$132.40