Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $74.65 / $74.65 / $350.23	Facility	26	$74.65	$74.65	$350.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.33 / $187.04 / $279.48	Professional		$132.33	$187.04	$279.48
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.62 / $82.57 / $121.23	Professional	26	$67.62	$82.57	$121.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $140.83 / $140.83 / $140.83	Professional		$140.83	$140.83	$140.83
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $60.21 / $60.21 / $60.21	Facility	26	$60.21	$60.21	$60.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $119.63 / $267.01 / $661.79	Professional		$119.63	$267.01	$661.79
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $67.84 / $110.59 / $180.92	Professional	26	$67.84	$110.59	$180.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.24 / $211.74 / $601.22	Professional		$181.24	$211.74	$601.22
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $105.95 / $121.34 / $170.97	Professional	26	$105.95	$121.34	$170.97
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.49 / $163.40 / $284.77	Professional		$99.49	$163.40	$284.77
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $77.31 / $92.95 / $146.21	Professional	26	$77.31	$92.95	$146.21
United Facility/Professional Professional Modifier Low / Median / High Price $118.57 / $216.45 / $506.65	Professional		$118.57	$216.45	$506.65
United Facility/Professional Professional Modifier 26 Low / Median / High Price $67.01 / $100.97 / $162.63	Professional	26	$67.01	$100.97	$162.63