Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.41 / $26.41 / $45.89	Facility		$26.41	$26.41	$45.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.44 / $25.54 / $30.19	Professional		$22.44	$25.54	$30.19
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $28.81 / $28.81 / $28.81	Professional		$28.81	$28.81	$28.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.56 / $55.92 / $128.13	Facility		$46.56	$55.92	$128.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.65 / $33.22 / $60.01	Professional		$24.65	$33.22	$60.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.65 / $36.17 / $51.29	Professional		$29.65	$36.17	$51.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $306.98 / $380.40 / $725.43	Facility		$306.98	$380.40	$725.43
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.19 / $26.95 / $44.54	Professional		$20.19	$26.95	$44.54
United Facility/Professional Professional Modifier Low / Median / High Price $18.34 / $25.80 / $49.42	Professional		$18.34	$25.80	$49.42