Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.45 / $278.39 / $698.89	Facility		$96.45	$278.39	$698.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.45 / $134.66 / $276.69	Professional		$96.45	$134.66	$276.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $42.50 / $42.50	Professional		$42.50	$42.50	$42.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $291.20 / $365.92 / $512.73	Facility		$291.20	$365.92	$512.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.03 / $196.03 / $353.17	Professional		$98.03	$196.03	$353.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.94 / $185.05 / $459.99	Professional		$121.94	$185.05	$459.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $474.24 / $531.77 / $668.15	Facility		$474.24	$531.77	$668.15
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $159.84 / $239.71	Professional		$124.00	$159.84	$239.71
United Facility/Professional Professional Modifier Low / Median / High Price $86.72 / $162.86 / $314.05	Professional		$86.72	$162.86	$314.05