Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.21 / $30.88 / $31.09	Facility		$17.21	$30.88	$31.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $25.92 / $41.50	Professional		$15.91	$25.92	$41.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $105.38 / $123.20 / $147.96	Facility		$105.38	$123.20	$147.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $15.98 / $33.04 / $72.83	Professional		$15.98	$33.04	$72.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $46.92 / $60.33 / $79.63	Professional		$46.92	$60.33	$79.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $144.41 / $293.31	Facility		$139.08	$144.41	$293.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $36.83 / $60.24	Professional		$29.89	$36.83	$60.24
United Facility/Professional Professional Modifier Low / Median / High Price $23.65 / $41.37 / $68.88	Professional		$23.65	$41.37	$68.88