Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $33.40 / $33.40 / $158.88	Facility	26	$33.40	$33.40	$158.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.13 / $227.58 / $313.91	Professional		$146.13	$227.58	$313.91
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $25.96 / $36.13 / $41.51	Professional	26	$25.96	$36.13	$41.51
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Professional		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.46 / $307.61 / $526.41	Professional		$129.46	$307.61	$526.41
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $26.37 / $46.54 / $78.41	Professional	26	$26.37	$46.54	$78.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $372.31 / $372.31 / $372.31	Professional		$372.31	$372.31	$372.31
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $49.35 / $49.35 / $49.35	Professional	26	$49.35	$49.35	$49.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $253.62 / $298.38 / $386.30	Professional		$253.62	$298.38	$386.30
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $30.91 / $36.36 / $54.54	Professional	26	$30.91	$36.36	$54.54
United Facility/Professional Professional Modifier Low / Median / High Price $157.51 / $336.64 / $607.29	Professional		$157.51	$336.64	$607.29
United Facility/Professional Professional Modifier 26 Low / Median / High Price $31.77 / $44.31 / $74.31	Professional	26	$31.77	$44.31	$74.31