Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.20 / $614.72 / $1,333.98	Facility		$64.20	$614.72	$1,333.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $68.40 / $128.46	Professional		$57.03	$68.40	$128.46
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $366.40 / $8,347.89 / $13,793.79	Facility		$366.40	$8,347.89	$13,793.79
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $126.00 / $126.00	Professional		$126.00	$126.00	$126.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.07 / $431.34 / $1,885.92	Facility		$60.07	$431.34	$1,885.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.51 / $108.13 / $177.21	Professional		$64.51	$108.13	$177.21
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.67 / $88.67 / $88.67	Professional		$88.67	$88.67	$88.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $95.29 / $128.49	Professional		$63.94	$95.29	$128.49
United Facility/Professional Professional Modifier Low / Median / High Price $56.68 / $108.37 / $193.70	Professional		$56.68	$108.37	$193.70