Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $36.07 / $36.07 / $254.06	Facility	26	$36.07	$36.07	$254.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.26 / $159.47 / $264.55	Professional		$90.26	$159.47	$264.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $102.75 / $102.75 / $102.75	Professional		$102.75	$102.75	$102.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.44 / $171.17 / $435.44	Professional		$84.44	$171.17	$435.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.84 / $314.98 / $472.15	Professional		$199.84	$314.98	$472.15
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $186.73 / $229.71 / $369.69	Professional		$186.73	$229.71	$369.69
United Facility/Professional Professional Modifier Low / Median / High Price $82.85 / $218.46 / $394.10	Professional		$82.85	$218.46	$394.10