Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.31 / $54.31 / $54.31	Facility		$54.31	$54.31	$54.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $66.01 / $96.08	Professional		$54.31	$66.01	$96.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $147.81	Facility		$98.15	$98.15	$147.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $71.65 / $129.43	Professional		$71.65	$71.65	$129.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.02 / $135.99 / $193.63	Professional		$135.02	$135.99	$193.63
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.32 / $98.32 / $98.32	Professional		$98.32	$98.32	$98.32
United Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $77.73 / $147.81	Professional		$66.64	$77.73	$147.81