Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.53 / $125.40 / $557.62	Facility		$95.53	$125.40	$557.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.33 / $123.93 / $125.61	Professional		$105.33	$123.93	$125.61
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $38.25 / $38.25	Facility		$38.25	$38.25	$38.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.58 / $73.09 / $271.94	Facility		$50.58	$73.09	$271.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $105.33 / $131.66	Professional		$42.19	$105.33	$131.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $31.84 / $48.45 / $63.69	Professional		$31.84	$48.45	$63.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.73 / $87.49 / $8,702.00	Facility		$55.73	$87.49	$8,702.00
United Facility/Professional Facility Modifier Low / Median / High Price $57.93 / $57.93 / $57.93	Facility		$57.93	$57.93	$57.93
United Facility/Professional Professional Modifier Low / Median / High Price $33.44 / $51.75 / $107.96	Professional		$33.44	$51.75	$107.96