Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $33.81 / $288.39	Facility		$33.81	$33.81	$288.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.00 / $240.00	Professional		$30.00	$40.00	$240.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $565.64 / $565.64 / $565.64	Professional		$565.64	$565.64	$565.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.00 / $288.00 / $411.00	Professional		$183.00	$288.00	$411.00
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Facility		$300.00	$300.00	$300.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.20 / $328.00 / $520.00	Professional		$88.20	$328.00	$520.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.00 / $71.50 / $110.00	Professional		$52.00	$71.50	$110.00