Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $42.49 / $42.49 / $229.45	Facility	26	$42.49	$42.49	$229.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.28 / $142.31 / $367.48	Professional		$102.28	$142.31	$367.48
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $60.91 / $60.91 / $60.91	Professional		$60.91	$60.91	$60.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.12 / $172.63 / $286.76	Professional		$109.12	$172.63	$286.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $142.09 / $210.84 / $417.66	Professional		$142.09	$210.84	$417.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.94 / $124.64 / $196.35	Professional		$93.94	$124.64	$196.35
United Facility/Professional Professional Modifier Low / Median / High Price $100.65 / $151.13 / $274.54	Professional		$100.65	$151.13	$274.54