Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.73 / $244.00 / $628.21	Facility		$94.73	$244.00	$628.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.74 / $95.33 / $140.55	Professional		$94.74	$95.33	$140.55
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $144.50 / $144.50 / $144.50	Facility		$144.50	$144.50	$144.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $119.47 / $269.20 / $560.04	Facility		$119.47	$269.20	$560.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $142.38 / $303.27	Professional		$80.73	$142.38	$303.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $128.33 / $177.22	Professional		$85.55	$128.33	$177.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $85.55 / $8,702.00 / $13,785.00	Facility		$85.55	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $85.55 / $85.55	Professional		$85.55	$85.55	$85.55
United Facility/Professional Facility Modifier Low / Median / High Price $67.22 / $67.22 / $67.22	Facility		$67.22	$67.22	$67.22
United Facility/Professional Professional Modifier Low / Median / High Price $51.33 / $73.33 / $166.74	Professional		$51.33	$73.33	$166.74