Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $39.57 / $39.57 / $111.97	Facility	26	$39.57	$39.57	$111.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.98 / $84.98 / $117.29	Professional		$66.98	$84.98	$117.29
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $31.54 / $37.65 / $52.43	Professional	26	$31.54	$37.65	$52.43
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $100.14 / $100.14 / $100.14	Professional		$100.14	$100.14	$100.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.73 / $113.29 / $202.23	Professional		$67.73	$113.29	$202.23
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $27.47 / $52.48 / $87.47	Professional	26	$27.47	$52.48	$87.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $94.69 / $123.14 / $159.68	Professional		$94.69	$123.14	$159.68
Emblem Health Facility/Professional Professional Modifier 26 Low / Median / High Price $41.23 / $53.03 / $69.03	Professional	26	$41.23	$53.03	$69.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $72.56 / $122.74	Professional		$54.90	$72.56	$122.74
Horizon BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $29.92 / $35.20 / $79.05	Professional	26	$29.92	$35.20	$79.05
United Facility/Professional Professional Modifier Low / Median / High Price $63.34 / $95.24 / $180.73	Professional		$63.34	$95.24	$180.73
United Facility/Professional Professional Modifier 26 Low / Median / High Price $27.78 / $42.55 / $76.45	Professional	26	$27.78	$42.55	$76.45