Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.60 / $94.61 / $932.03	Facility		$94.60	$94.61	$932.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $99.96 / $126.31	Professional		$74.09	$99.96	$126.31
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $91.80 / $91.80 / $91.80	Professional		$91.80	$91.80	$91.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $183.37 / $217.99 / $294.10	Facility		$183.37	$217.99	$294.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.75 / $109.28 / $198.79	Professional		$73.75	$109.28	$198.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.63 / $138.32 / $202.82	Professional		$115.63	$138.32	$202.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $208.63 / $249.00 / $458.84	Facility		$208.63	$249.00	$458.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.09 / $100.60 / $140.62	Professional		$80.09	$100.60	$140.62
United Facility/Professional Facility Modifier Low / Median / High Price $143.22 / $174.35 / $272.43	Facility		$143.22	$174.35	$272.43
United Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $104.66 / $187.76	Professional		$68.31	$104.66	$187.76