Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $27.90 / $27.90 / $27.90	Facility	26	$27.90	$27.90	$27.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.99 / $53.81 / $181.73	Professional		$47.99	$53.81	$181.73
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.07 / $28.60 / $36.59	Professional	26	$26.07	$28.60	$36.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.02 / $158.02 / $158.02	Professional		$158.02	$158.02	$158.02
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $28.27 / $28.27 / $28.27	Professional	26	$28.27	$28.27	$28.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.90 / $260.87 / $260.87	Professional		$207.90	$260.87	$260.87
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $36.27 / $44.41 / $44.41	Professional	26	$36.27	$44.41	$44.41
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $103.87 / $122.20	Professional		$77.03	$103.87	$122.20
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $26.11 / $30.72 / $31.57	Professional	26	$26.11	$30.72	$31.57
United Facility/Professional Professional Modifier Low / Median / High Price $57.98 / $129.40 / $235.08	Professional		$57.98	$129.40	$235.08
United Facility/Professional Professional Modifier 26 Low / Median / High Price $22.53 / $32.84 / $60.73	Professional	26	$22.53	$32.84	$60.73