Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.22 / $136.22 / $136.22	Facility		$136.22	$136.22	$136.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $136.22 / $165.53 / $315.18	Professional		$136.22	$165.53	$315.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $239.78 / $239.78 / $370.68	Facility		$239.78	$239.78	$370.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $175.04 / $175.04 / $324.57	Professional		$175.04	$175.04	$324.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $338.63 / $341.03 / $485.59	Professional		$338.63	$341.03	$485.59
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $361.99 / $370.68 / $370.68	Professional		$361.99	$370.68	$370.68
United Facility/Professional Facility Modifier Low / Median / High Price $247.02 / $247.02 / $247.02	Facility		$247.02	$247.02	$247.02
United Facility/Professional Professional Modifier Low / Median / High Price $167.14 / $198.14 / $370.68	Professional		$167.14	$198.14	$370.68