Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $151.36 / $151.36	Facility		$151.36	$151.36	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $194.98 / $389.05	Professional		$165.96	$194.98	$389.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $218.78 / $457.09	Facility		$218.78	$218.78	$457.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $218.78	Professional		$158.49	$158.49	$218.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $478.63 / $660.69	Professional		$295.12	$478.63	$660.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $446.68 / $446.68 / $446.68	Professional		$446.68	$446.68	$446.68
United Facility/Professional Facility Modifier Low / Median / High Price $125.89 / $194.98 / $457.09	Facility		$125.89	$194.98	$457.09
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $223.87 / $354.81	Professional		$173.78	$223.87	$354.81