Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.00 / $240.00 / $480.00	Facility		$113.00	$240.00	$480.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.13 / $187.19 / $225.02	Professional		$130.13	$187.19	$225.02
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $493.47 / $493.47 / $493.47	Facility		$493.47	$493.47	$493.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $85.00 / $163.65	Facility		$80.00	$85.00	$163.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.93 / $260.86 / $462.22	Professional		$189.93	$260.86	$462.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $92.55 / $343.58	Professional		$45.00	$92.55	$343.58
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.63 / $225.93 / $366.01	Professional		$158.63	$225.93	$366.01
United Facility/Professional Professional Modifier Low / Median / High Price $144.22 / $190.94 / $367.63	Professional		$144.22	$190.94	$367.63