Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.93 / $114.83 / $401.54	Facility		$45.93	$114.83	$401.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.21 / $58.27 / $77.22	Professional		$37.21	$58.27	$77.22
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $687.96 / $687.96 / $687.96	Facility		$687.96	$687.96	$687.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.62 / $154.44 / $321.68	Facility		$68.62	$154.44	$321.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $85.39 / $157.19	Professional		$53.37	$85.39	$157.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $73.70 / $101.79	Professional		$49.14	$73.70	$101.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $42.12 / $79.55	Professional		$29.13	$42.12	$79.55