Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.55 / $116.75 / $364.30	Facility		$92.55	$116.75	$364.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.34 / $79.76 / $111.65	Professional		$62.34	$79.76	$111.65
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $488.15 / $488.15 / $693.62	Facility		$488.15	$488.15	$693.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $80.00 / $100.00	Facility		$50.00	$80.00	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $104.23 / $173.87	Professional		$71.95	$104.23	$173.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.99 / $110.00 / $165.02	Professional		$98.99	$110.00	$165.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $104.14 / $197.63	Professional		$82.26	$104.14	$197.63
United Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $86.16 / $164.40	Professional		$51.38	$86.16	$164.40