Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.75 / $115.71 / $207.32	Professional		$76.75	$115.71	$207.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $153.77 / $153.77 / $153.77	Facility		$153.77	$153.77	$153.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $153.77 / $288.75	Professional		$130.69	$153.77	$288.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $387.60 / $387.60 / $387.60	Professional		$387.60	$387.60	$387.60
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.56 / $166.56 / $166.56	Professional		$166.56	$166.56	$166.56
United Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $121.32 / $193.34	Professional		$96.29	$121.32	$193.34