Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.62 / $243.00 / $720.86	Facility		$142.62	$243.00	$720.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.71 / $142.63 / $171.16	Professional		$92.71	$142.63	$171.16
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $39.72 / $201.85 / $1,790.65	Facility		$39.72	$201.85	$1,790.65
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $142.63 / $237.60 / $376.61	Professional		$142.63	$237.60	$376.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $210.90 / $425.24	Facility		$139.41	$210.90	$425.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $153.22 / $318.76	Professional		$94.57	$153.22	$318.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $427.89 / $427.89 / $427.89	Facility		$427.89	$427.89	$427.89
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 $142.63 / $142.63 / $8,702.00	Facility		$142.63	$142.63	$8,702.00
United Facility/Professional Facility Modifier Low / Median / High Price $78.43 / $78.43 / $78.43	Facility		$78.43	$78.43	$78.43
United Facility/Professional Professional Modifier Low / Median / High Price $64.18 / $114.10 / $148.38	Professional		$64.18	$114.10	$148.38