Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.03 / $145.00 / $313.00	Facility		$38.03	$145.00	$313.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.71 / $66.01 / $85.81	Professional		$36.71	$66.01	$85.81
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $180.21 / $180.21 / $446.25	Facility		$180.21	$180.21	$446.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $196.90 / $196.90 / $196.90	Professional		$196.90	$196.90	$196.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $80.00 / $163.65	Facility		$50.00	$80.00	$163.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.51 / $93.61 / $172.98	Professional		$46.51	$93.61	$172.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $45.00 / $110.00	Professional		$45.00	$45.00	$110.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.58 / $88.62 / $133.87	Professional		$64.58	$88.62	$133.87
United Facility/Professional Professional Modifier Low / Median / High Price $53.38 / $76.98 / $145.29	Professional		$53.38	$76.98	$145.29