Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $92.27 / $92.27 / $92.27	Facility	26	$92.27	$92.27	$92.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.72 / $147.32 / $202.42	Professional		$121.72	$147.32	$202.42
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $168.15 / $168.15 / $168.15	Professional		$168.15	$168.15	$168.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.61 / $214.46 / $389.60	Professional		$115.61	$214.46	$389.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $170.37 / $220.15 / $287.04	Professional		$170.37	$220.15	$287.04
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $122.01 / $207.91	Professional		$81.31	$122.01	$207.91
United Facility/Professional Professional Modifier Low / Median / High Price $113.55 / $165.19 / $310.66	Professional		$113.55	$165.19	$310.66