Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.71 / $142.71 / $142.71	Facility		$142.71	$142.71	$142.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.71 / $182.42 / $230.69	Professional		$142.71	$182.42	$230.69
Cigna Facility/Professional Facility Modifier Low / Median / High Price $252.01 / $252.01 / $419.18	Facility		$252.01	$252.01	$419.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.97 / $183.97 / $367.06	Professional		$183.97	$183.97	$367.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $382.96 / $385.65 / $549.13	Professional		$382.96	$385.65	$549.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $409.36 / $419.18 / $419.18	Professional		$409.36	$419.18	$419.18
United Facility/Professional Professional Modifier Low / Median / High Price $173.80 / $209.13 / $384.84	Professional		$173.80	$209.13	$384.84