Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.56 / $71.47 / $76.97	Facility		$68.56	$71.47	$76.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $65.70 / $87.76	Professional		$54.90	$65.70	$87.76
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 $50.00 / $68.27 / $134.90	Professional		$50.00	$68.27	$134.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.22 / $107.44 / $120.60	Professional		$93.22	$107.44	$120.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.37 / $69.76 / $72.42	Facility		$60.37	$69.76	$72.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.75 / $66.77 / $114.38	Professional		$56.75	$66.77	$114.38
United Facility/Professional Professional Modifier Low / Median / High Price $54.44 / $69.15 / $130.77	Professional		$54.44	$69.15	$130.77