Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.74 / $129.81 / $151.08	Professional		$97.74	$129.81	$151.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Professional		$13.50	$13.50	$13.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.97 / $167.00 / $365.16	Professional		$91.97	$167.00	$365.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $142.66 / $194.06	Professional		$100.63	$142.66	$194.06
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.63 / $100.63 / $100.63	Professional		$100.63	$100.63	$100.63
United Facility/Professional Professional Modifier Low / Median / High Price $63.83 / $122.19 / $189.02	Professional		$63.83	$122.19	$189.02