Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.17 / $168.17 / $168.17	Facility		$168.17	$168.17	$168.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $168.17 / $224.93 / $321.77	Professional		$168.17	$224.93	$321.77
Cigna Facility/Professional Facility Modifier Low / Median / High Price $292.49 / $387.54 / $494.00	Facility		$292.49	$387.54	$494.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.89 / $282.89 / $432.56	Professional		$282.89	$282.89	$432.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $451.31 / $454.48 / $647.14	Professional		$451.31	$454.48	$647.14
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $482.42 / $494.00 / $494.00	Professional		$482.42	$494.00	$494.00
United Facility/Professional Professional Modifier Low / Median / High Price $222.74 / $254.05 / $494.00	Professional		$222.74	$254.05	$494.00