Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $479.63 / $534.45 / $713.14	Facility		$479.63	$534.45	$713.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $87.50 / $144.00	Professional		$50.00	$87.50	$144.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $13.00	Professional		$13.00	$13.00	$13.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.69 / $203.99 / $421.24	Facility		$138.69	$203.99	$421.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $66.00	Professional		$66.00	$66.00	$66.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $68,899.31	Professional		$55,249.45	$55,249.45	$68,899.31
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $172.75 / $178.45 / $214.08	Facility		$172.75	$178.45	$214.08
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.00 / $90.07 / $124.46	Professional		$61.00	$90.07	$124.46