Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.81 / $125.81 / $125.81	Facility		$125.81	$125.81	$125.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.81 / $168.27 / $221.96	Professional		$125.81	$168.27	$221.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.20 / $230.92 / $369.55	Facility		$213.20	$230.92	$369.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.57 / $168.57 / $323.60	Professional		$168.57	$168.57	$323.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $337.62 / $339.99 / $484.11	Professional		$337.62	$339.99	$484.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.75 / $369.55 / $369.55	Professional		$351.75	$369.55	$369.55
United Facility/Professional Professional Modifier Low / Median / High Price $165.93 / $184.37 / $369.55	Professional		$165.93	$184.37	$369.55