Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $407.56 / $407.56 / $570.58	Facility	26	$407.56	$407.56	$570.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,143.33 / $1,346.66 / $2,078.50	Professional		$1,143.33	$1,346.66	$2,078.50
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $341.74 / $399.48 / $526.80	Professional	26	$341.74	$399.48	$526.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $391.74 / $391.74 / $391.74	Professional		$391.74	$391.74	$391.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,343.15 / $1,916.81 / $4,229.93	Professional		$1,343.15	$1,916.81	$4,229.93
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $380.02 / $585.79 / $1,216.24	Professional	26	$380.02	$585.79	$1,216.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,804.28 / $1,990.34 / $2,215.01	Professional		$1,804.28	$1,990.34	$2,215.01
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $524.34 / $603.19 / $671.28	Professional	26	$524.34	$603.19	$671.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,043.44 / $1,227.58 / $1,588.78	Professional		$1,043.44	$1,227.58	$1,588.78
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $291.69 / $343.17 / $1,874.48	Professional	26	$291.69	$343.17	$1,874.48
United Facility/Professional Professional Modifier Low / Median / High Price $1,084.33 / $1,549.09 / $2,989.36	Professional		$1,084.33	$1,549.09	$2,989.36
United Facility/Professional Professional Modifier 26 Low / Median / High Price $330.06 / $433.05 / $876.54	Professional	26	$330.06	$433.05	$876.54