Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $134.90 / $134.90	Facility		$134.90	$134.90	$134.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $204.17 / $363.08	Professional		$154.88	$204.17	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $407.38	Facility		$251.19	$251.19	$407.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $186.21 / $251.19	Professional		$186.21	$186.21	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $426.58 / $588.84	Professional		$263.03	$426.58	$588.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.11 / $398.11 / $398.11	Professional		$398.11	$398.11	$398.11
United Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $398.11 / $467.74	Facility		$151.36	$398.11	$467.74
United Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $204.17 / $338.84	Professional		$181.97	$204.17	$338.84