Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.07 / $73.48 / $248.62	Facility		$28.07	$73.48	$248.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $73.48 / $80.00	Professional		$73.48	$73.48	$80.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $281.60 / $281.60 / $281.60	Facility		$281.60	$281.60	$281.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $66.97 / $73.48 / $194.05	Professional		$66.97	$73.48	$194.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $83.66 / $84.53 / $239.88	Facility		$83.66	$84.53	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.11 / $102.00 / $99,999.77	Professional		$62.11	$102.00	$99,999.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.20 / $73.80 / $101.92	Professional		$49.20	$73.80	$101.92
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.66 / $33.31 / $8,702.00	Facility		$21.66	$33.31	$8,702.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.72 / $44.09 / $83.11	Professional		$25.72	$44.09	$83.11