Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $69.18 / $69.18	Facility		$69.18	$69.18	$69.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $67.61 / $102.33	Professional		$50.12	$67.61	$102.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $93.33 / $120.23	Facility		$93.33	$93.33	$120.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $93.33 / $93.33	Professional		$93.33	$93.33	$93.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $186.21 / $245.47	Professional		$151.36	$186.21	$245.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $426.58 / $562.34	Facility		$218.78	$426.58	$562.34
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $79.43 / $138.04	Professional		$67.61	$79.43	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $114.82 / $125.89	Professional		$91.20	$114.82	$125.89