Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.68 / $106.68 / $106.68	Facility		$106.68	$106.68	$106.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $119.01 / $192.73	Professional		$106.68	$119.01	$192.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $166.52 / $166.52 / $290.27	Facility		$166.52	$166.52	$290.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $121.56 / $121.56 / $254.19	Professional		$121.56	$121.56	$254.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $265.20 / $267.06 / $380.27	Professional		$265.20	$267.06	$380.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $276.30 / $290.27 / $290.27	Professional		$276.30	$290.27	$290.27
United Facility/Professional Professional Modifier Low / Median / High Price $132.94 / $156.72 / $266.51	Professional		$132.94	$156.72	$266.51