Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.13 / $75.43 / $859.92	Facility		$20.13	$75.43	$859.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.10 / $49.03 / $75.43	Professional		$17.10	$49.03	$75.43
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $121.33 / $121.33 / $521.46	Facility		$121.33	$121.33	$521.46
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.89 / $28.89 / $28.89	Facility		$28.89	$28.89	$28.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.29 / $70.66 / $141.71	Professional		$21.29	$70.66	$141.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.40 / $118.52 / $154.66	Professional		$89.40	$118.52	$154.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.41 / $144.41 / $144.41	Facility		$144.41	$144.41	$144.41
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.31 / $76.97 / $127.00	Professional		$54.31	$76.97	$127.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.89 / $75.98 / $135.33	Professional		$55.89	$75.98	$135.33