Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.10 / $182.10 / $182.10	Facility		$182.10	$182.10	$182.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.58 / $181.97 / $210.23	Professional		$134.58	$181.97	$210.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $167.84 / $167.84 / $167.84	Professional		$167.84	$167.84	$167.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.96 / $260.64 / $514.04	Professional		$208.96	$260.64	$514.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.01 / $176.48 / $180.58	Professional		$150.01	$176.48	$180.58
United Facility/Professional Professional Modifier Low / Median / High Price $140.19 / $205.30 / $374.41	Professional		$140.19	$205.30	$374.41