Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Facility		$130.69	$130.69	$130.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.09 / $127.61 / $130.69	Professional		$106.09	$127.61	$130.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.57 / $78.39 / $130.69	Facility		$60.57	$78.39	$130.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $130.69 / $130.69	Professional		$130.69	$130.69	$130.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.12 / $130.69 / $130.69	Professional		$80.12	$130.69	$130.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.06 / $60.56 / $60.56	Professional		$6.06	$60.56	$60.56
United Facility/Professional Professional Modifier Low / Median / High Price $121.08 / $128.13 / $138.53	Professional		$121.08	$128.13	$138.53