Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.75 / $199.07 / $454.77	Facility		$68.75	$199.07	$454.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.11 / $75.36 / $136.62	Professional		$63.11	$75.36	$136.62
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $754.80 / $754.80 / $754.80	Facility		$754.80	$754.80	$754.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $50.91 / $50.91 / $71.08	Professional		$50.91	$50.91	$71.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $69.77 / $86.76 / $111.40	Facility		$69.77	$86.76	$111.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.69 / $106.36 / $176.98	Professional		$61.69	$106.36	$176.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.76 / $99.76 / $213.39	Professional		$81.76	$99.76	$213.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.64 / $66.41 / $91.32	Professional		$37.64	$66.41	$91.32
United Facility/Professional Professional Modifier Low / Median / High Price $55.87 / $86.79 / $148.19	Professional		$55.87	$86.79	$148.19