Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.11 / $71.68 / $408.92	Facility		$64.11	$71.68	$408.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.14 / $61.96 / $82.00	Professional		$51.14	$61.96	$82.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $165.60 / $165.60 / $165.60	Professional		$165.60	$165.60	$165.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.00 / $63.70 / $126.08	Professional		$47.00	$63.70	$126.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.82 / $101.22 / $113.61	Professional		$87.82	$101.22	$113.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.62 / $390.62 / $793.32	Facility		$390.62	$390.62	$793.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $62.18 / $105.18	Professional		$52.85	$62.18	$105.18
United Facility/Professional Professional Modifier Low / Median / High Price $51.23 / $64.40 / $126.15	Professional		$51.23	$64.40	$126.15