Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Facility		$158.49	$158.49	$158.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $218.78 / $371.54	Professional		$169.82	$218.78	$371.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $288.40 / $288.40 / $446.68	Facility		$288.40	$288.40	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $288.40	Professional		$208.93	$208.93	$288.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $467.74 / $645.65	Professional		$288.40	$467.74	$645.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $436.52 / $436.52	Professional		$436.52	$436.52	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $436.52 / $537.03	Facility		$263.03	$436.52	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $229.09 / $354.81	Professional		$194.98	$229.09	$354.81