Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.20 / $59.20 / $59.20	Facility		$59.20	$59.20	$59.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.20 / $68.06 / $91.14	Professional		$59.20	$68.06	$91.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.21 / $86.21 / $173.90	Facility		$86.21	$86.21	$173.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.93 / $62.93 / $152.27	Professional		$62.93	$62.93	$152.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.87 / $159.99 / $227.81	Professional		$158.87	$159.99	$227.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $173.90 / $173.90	Professional		$169.82	$173.90	$173.90
United Facility/Professional Professional Modifier Low / Median / High Price $62.50 / $86.75 / $159.63	Professional		$62.50	$86.75	$159.63