Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $29.98 / $29.98 / $147.52	Facility	26	$29.98	$29.98	$147.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.58 / $215.83 / $308.54	Professional		$162.58	$215.83	$308.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $60.15 / $62.21	Professional		$60.15	$60.15	$62.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.96 / $270.76 / $454.72	Professional		$169.96	$270.76	$454.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $299.13 / $299.13 / $299.13	Professional		$299.13	$299.13	$299.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $202.22 / $237.91 / $300.52	Professional		$202.22	$237.91	$300.52
United Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $263.30 / $477.35	Professional		$160.13	$263.30	$477.35