Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.66 / $186.21 / $407.38	Facility	26	$42.66	$186.21	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $177.83 / $645.65	Professional		$107.15	$177.83	$645.65
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $60.26 / $60.26	Professional		$60.26	$60.26	$60.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $169.82 / $316.23	Professional		$109.65	$169.82	$316.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $213.80 / $295.12	Professional		$204.17	$213.80	$295.12
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $144.54 / $275.42	Professional		$117.49	$144.54	$275.42
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $269.15	Professional		$100.00	$151.36	$269.15