Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.61 / $231.00 / $887.08	Facility		$57.61	$231.00	$887.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $60.59 / $103.98	Professional		$47.74	$60.59	$103.98
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $223.20 / $261.80 / $442.85	Facility		$223.20	$261.80	$442.85
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $105.00 / $205.40	Professional		$65.93	$105.00	$205.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $163.65 / $163.65 / $163.65	Facility		$163.65	$163.65	$163.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.56 / $86.23 / $121.65	Professional		$60.56	$86.23	$121.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $55.00 / $110.00	Professional		$45.00	$55.00	$110.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.67 / $73.73 / $115.07	Professional		$62.67	$73.73	$115.07
United Facility/Professional Professional Modifier Low / Median / High Price $60.06 / $80.39 / $107.81	Professional		$60.06	$80.39	$107.81