Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.43 / $117.43 / $117.43	Facility		$117.43	$117.43	$117.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.94 / $134.99 / $158.97	Professional		$108.94	$134.99	$158.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.40 / $165.40 / $344.93	Facility		$165.40	$165.40	$344.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.74 / $120.74 / $302.02	Professional		$120.74	$120.74	$302.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $315.12 / $317.33 / $451.86	Professional		$315.12	$317.33	$451.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.85 / $344.93 / $344.93	Professional		$336.85	$344.93	$344.93
United Facility/Professional Professional Modifier Low / Median / High Price $119.91 / $172.08 / $332.29	Professional		$119.91	$172.08	$332.29