Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $67.61 / $131.83	Professional		$38.02	$67.61	$131.83
Aetna Facility/Professional Professional Modifier 25 Low / Median / High Price $75.86 / $158.49 / $169.82	Professional	25	$75.86	$158.49	$169.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $112.20 / $181.97	Professional		$77.62	$112.20	$181.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $69.18 / $162.18	Professional		$34.67	$69.18	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $64.57 / $128.82	Professional		$39.81	$64.57	$128.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $263.03 / $295.12	Facility		$251.19	$263.03	$295.12
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $104.71 / $229.09	Professional		$61.66	$104.71	$229.09
United Facility/Professional Professional Modifier Low / Median / High Price $25.70 / $46.77 / $93.33	Professional		$25.70	$46.77	$93.33