Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.42 / $172.00 / $703.78	Facility		$104.42	$172.00	$703.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.03 / $92.31 / $126.71	Professional		$60.03	$92.31	$126.71
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,016.73 / $1,016.73 / $1,016.73	Facility		$1,016.73	$1,016.73	$1,016.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $83.26 / $163.65	Facility		$80.00	$83.26	$163.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.95 / $124.62 / $209.93	Professional		$88.95	$124.62	$209.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $92.55 / $163.63	Professional		$45.00	$92.55	$163.63
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.26 / $104.69 / $165.75	Professional		$73.26	$104.69	$165.75
United Facility/Professional Professional Modifier Low / Median / High Price $76.18 / $97.66 / $170.12	Professional		$76.18	$97.66	$170.12