Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $182.52 / $667.08	Facility		$75.59	$182.52	$667.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $103.88 / $128.37	Professional		$75.59	$103.88	$128.37
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $136.91 / $136.91 / $136.91	Professional		$136.91	$136.91	$136.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $314.68 / $653.58	Facility		$139.41	$314.68	$653.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.05 / $147.94 / $306.17	Professional		$83.05	$147.94	$306.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $149.76 / $206.81	Professional		$99.84	$149.76	$206.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $12,381.00	Facility		$8,702.00	$8,702.00	$12,381.00
United Facility/Professional Professional Modifier Low / Median / High Price $59.90 / $85.58 / $154.04	Professional		$59.90	$85.58	$154.04