Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.00 / $136.00 / $136.00	Facility		$136.00	$136.00	$136.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.00 / $173.85 / $252.51	Professional		$136.00	$173.85	$252.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.62 / $291.02 / $399.47	Facility		$212.62	$291.02	$399.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $212.45 / $212.45 / $349.79	Professional		$212.45	$212.45	$349.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $364.96 / $367.51 / $523.30	Professional		$364.96	$367.51	$523.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $380.22 / $399.47 / $399.47	Professional		$380.22	$399.47	$399.47
United Facility/Professional Facility Modifier Low / Median / High Price $140.53 / $184.46 / $399.47	Facility		$140.53	$184.46	$399.47
United Facility/Professional Professional Modifier Low / Median / High Price $157.74 / $199.30 / $399.47	Professional		$157.74	$199.30	$399.47