Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $169.82 / $295.12	Professional		$117.49	$169.82	$295.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $190.55 / $309.03	Facility		$173.78	$190.55	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $190.55	Professional		$138.04	$138.04	$190.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $323.59 / $446.68	Professional		$199.53	$323.59	$446.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Professional		$302.00	$302.00	$302.00
United Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $199.53 / $354.81	Facility		$114.82	$199.53	$354.81
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $251.19	Professional		$138.04	$154.88	$251.19