Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.82 / $87.83 / $287.79	Facility		$87.82	$87.83	$287.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.83 / $97.98 / $128.85	Professional		$87.83	$97.98	$128.85
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $524.45 / $524.45 / $524.45	Facility		$524.45	$524.45	$524.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $80.00 / $510.18	Facility		$80.00	$80.00	$510.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $128.01 / $212.55	Professional		$71.20	$128.01	$212.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $110.00 / $183.90	Professional		$110.00	$110.00	$183.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.99 / $115.89 / $175.63	Professional		$96.99	$115.89	$175.63
United Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $95.86 / $188.80	Professional		$56.83	$95.86	$188.80