Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.59 / $168.51 / $704.18	Facility		$72.59	$168.51	$704.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.31 / $102.75 / $329.01	Professional		$39.31	$102.75	$329.01
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $107.44 / $377.15 / $7,266.25	Facility		$107.44	$377.15	$7,266.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $133.91 / $301.69 / $627.78	Facility		$133.91	$301.69	$627.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.16 / $141.65 / $288.99	Professional		$77.16	$141.65	$288.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $95.90 / $143.85 / $198.65	Professional		$95.90	$143.85	$198.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $82.20 / $140.43	Professional		$57.54	$82.20	$140.43