Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $124.72 / $124.72 / $124.72	Facility		$124.72	$124.72	$124.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.72 / $148.59 / $216.12	Professional		$124.72	$148.59	$216.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $220.51 / $220.51 / $339.38	Facility		$220.51	$220.51	$339.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.97 / $160.97 / $297.18	Professional		$160.97	$160.97	$297.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $310.06 / $312.23 / $444.59	Professional		$310.06	$312.23	$444.59
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.43 / $339.38 / $339.38	Professional		$331.43	$339.38	$339.38
United Facility/Professional Professional Modifier Low / Median / High Price $152.38 / $178.54 / $339.38	Professional		$152.38	$178.54	$339.38