Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.21 / $387.33 / $1,433.17	Facility		$90.21	$387.33	$1,433.17
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $45.11 / $112.80 / $161.47	Facility	52	$45.11	$112.80	$161.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $137.47 / $257.87	Professional		$75.84	$137.47	$257.87
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $256.35 / $256.35 / $264.75	Professional		$256.35	$256.35	$264.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $682.12 / $682.12 / $819.22	Facility		$682.12	$682.12	$819.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.23 / $176.34 / $375.55	Professional		$91.23	$176.34	$375.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $181.53 / $238.97 / $320.27	Professional		$181.53	$238.97	$320.27
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $776.67 / $806.41 / $1,537.91	Facility		$776.67	$806.41	$1,537.91
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.75 / $230.10 / $435.91	Professional		$177.75	$230.10	$435.91
United Facility/Professional Professional Modifier Low / Median / High Price $142.86 / $212.50 / $381.00	Professional		$142.86	$212.50	$381.00