Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.49 / $327.08 / $1,247.30	Facility		$155.49	$327.08	$1,247.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $191.10 / $250.77	Professional		$155.49	$191.10	$250.77
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $190.80 / $190.80 / $190.80	Professional		$190.80	$190.80	$190.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $213.15 / $480.68 / $999.23	Facility		$213.15	$480.68	$999.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.47 / $269.70 / $596.57	Professional		$155.47	$269.70	$596.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $228.96 / $316.19	Professional		$152.63	$228.96	$316.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $152.63 / $8,702.00 / $13,785.00	Facility		$152.63	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.63 / $152.63 / $152.63	Professional		$152.63	$152.63	$152.63
United Facility/Professional Professional Modifier Low / Median / High Price $91.59 / $130.84 / $293.37	Professional		$91.59	$130.84	$293.37