Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.83 / $117.83 / $117.83	Facility		$117.83	$117.83	$117.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.83 / $150.62 / $190.47	Professional		$117.83	$150.62	$190.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $197.94 / $197.94 / $346.12	Facility		$197.94	$197.94	$346.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.50 / $144.50 / $303.07	Professional		$144.50	$144.50	$303.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $316.19 / $318.43 / $453.42	Professional		$316.19	$318.43	$453.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $329.44 / $346.12 / $346.12	Professional		$329.44	$346.12	$346.12
United Facility/Professional Professional Modifier Low / Median / High Price $143.50 / $172.67 / $317.74	Professional		$143.50	$172.67	$317.74