Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.72 / $133.72 / $133.72	Facility		$133.72	$133.72	$133.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $126.53 / $157.02 / $174.78	Professional		$126.53	$157.02	$174.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $170.54 / $170.54 / $363.91	Facility		$170.54	$170.54	$363.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $124.49 / $124.49 / $318.64	Professional		$124.49	$124.49	$318.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $332.45 / $334.80 / $476.72	Professional		$332.45	$334.80	$476.72
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.36 / $168.36 / $242.06	Professional		$168.36	$168.36	$242.06
United Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $181.55 / $363.91	Professional		$161.71	$181.55	$363.91