Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $25.12 / $25.12 / $126.17	Facility	26	$25.12	$25.12	$126.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $143.16 / $188.16 / $219.76	Professional		$143.16	$188.16	$219.76
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $20.74 / $28.04 / $30.66	Professional	26	$20.74	$28.04	$30.66
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $423.33 / $423.33 / $423.33	Professional		$423.33	$423.33	$423.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.13 / $213.43 / $350.25	Professional		$141.13	$213.43	$350.25
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $21.30 / $36.29 / $61.17	Professional	26	$21.30	$36.29	$61.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $285.08 / $285.08 / $285.08	Professional		$285.08	$285.08	$285.08
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $38.35 / $38.35 / $38.35	Professional	26	$38.35	$38.35	$38.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.21 / $220.26 / $277.95	Professional		$196.21	$220.26	$277.95
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $24.75 / $29.12 / $44.21	Professional	26	$24.75	$29.12	$44.21
United Facility/Professional Professional Modifier Low / Median / High Price $168.60 / $260.43 / $469.81	Professional		$168.60	$260.43	$469.81
United Facility/Professional Professional Modifier 26 Low / Median / High Price $25.72 / $36.21 / $57.96	Professional	26	$25.72	$36.21	$57.96