Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.83 / $40.83 / $40.83	Facility		$40.83	$40.83	$40.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.83 / $49.61 / $72.25	Professional		$40.83	$49.61	$72.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $90.38 / $90.38 / $111.09	Facility		$90.38	$90.38	$111.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.81 / $76.81 / $97.28	Professional		$76.81	$76.81	$97.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $101.50 / $102.20 / $145.53	Professional		$101.50	$102.20	$145.53
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $73.90 / $73.90	Professional		$51.97	$73.90	$73.90
United Facility/Professional Professional Modifier Low / Median / High Price $50.10 / $63.44 / $102.00	Professional		$50.10	$63.44	$102.00