Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.57 / $126.57 / $260.39	Facility		$23.57	$126.57	$260.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $27.66 / $47.92	Professional		$20.14	$27.66	$47.92
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $24.05 / $24.05 / $24.05	Professional		$24.05	$24.05	$24.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.76 / $65.04 / $98.46	Facility		$51.76	$65.04	$98.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.08 / $34.84 / $55.02	Professional		$22.08	$34.84	$55.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $33.19 / $40.79 / $55.82	Professional		$33.19	$40.79	$55.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.75 / $214.08 / $464.19	Facility		$172.75	$214.08	$464.19
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $28.10 / $42.14	Professional		$23.89	$28.10	$42.14
United Facility/Professional Facility Modifier Low / Median / High Price $169.83 / $307.08 / $370.28	Facility		$169.83	$307.08	$370.28
United Facility/Professional Professional Modifier Low / Median / High Price $21.99 / $31.67 / $53.16	Professional		$21.99	$31.67	$53.16