Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.66 / $87.66 / $87.66	Facility		$87.66	$87.66	$87.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $85.71 / $116.69	Professional		$70.44	$85.71	$116.69
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Facility		$750.00	$750.00	$750.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.44 / $105.55 / $187.79	Professional		$74.44	$105.55	$187.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.41 / $96.54 / $126.51	Professional		$72.41	$96.54	$126.51
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.80 / $96.13 / $163.36	Professional		$66.80	$96.13	$163.36
United Facility/Professional Professional Modifier Low / Median / High Price $64.59 / $86.97 / $159.00	Professional		$64.59	$86.97	$159.00