Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.36 / $75.36 / $222.75	Facility		$75.36	$75.36	$222.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.05 / $76.77 / $170.74	Professional		$64.05	$76.77	$170.74
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $61.10 / $146.27 / $284.68	Professional		$61.10	$146.27	$284.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.20 / $147.96 / $426.42	Facility		$123.20	$147.96	$426.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.04 / $85.03 / $199.64	Professional		$54.04	$85.03	$199.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.53 / $166.77 / $182.17	Professional		$118.53	$166.77	$182.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.41 / $256.30 / $313.14	Facility		$144.41	$256.30	$313.14
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $80.34 / $119.59 / $178.11	Professional		$80.34	$119.59	$178.11
United Facility/Professional Facility Modifier Low / Median / High Price $114.57 / $207.16 / $249.79	Facility		$114.57	$207.16	$249.79
United Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $101.06 / $230.73	Professional		$52.45	$101.06	$230.73