Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.04 / $117.04 / $582.45	Facility		$117.04	$117.04	$582.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.04 / $149.61 / $196.61	Professional		$117.04	$149.61	$196.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $212.98 / $212.98 / $343.78	Facility		$212.98	$212.98	$343.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $212.98 / $306.37	Professional		$155.47	$212.98	$306.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $314.07 / $316.27 / $450.35	Professional		$314.07	$316.27	$450.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $328.72 / $343.78 / $343.78	Professional		$328.72	$343.78	$343.78
United Facility/Professional Professional Modifier Low / Median / High Price $142.53 / $171.50 / $315.60	Professional		$142.53	$171.50	$315.60