Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $119.20 / $119.21 / $518.49	Facility	26	$119.20	$119.21	$518.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $288.75 / $402.08 / $607.01	Professional		$288.75	$402.08	$607.01
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $409.50 / $409.50 / $409.50	Professional		$409.50	$409.50	$409.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.91 / $475.40 / $803.16	Professional		$277.91	$475.40	$803.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $398.57 / $489.12 / $852.56	Professional		$398.57	$489.12	$852.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $323.95 / $381.12 / $606.16	Professional		$323.95	$381.12	$606.16
United Facility/Professional Professional Modifier Low / Median / High Price $303.86 / $552.24 / $934.56	Professional		$303.86	$552.24	$934.56