Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $199.53 / $354.81	Facility		$75.86	$199.53	$354.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $87.10 / $309.03	Professional		$54.95	$87.10	$309.03
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $295.12 / $588.84	Facility		$138.04	$295.12	$588.84
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $204.17	Professional		$87.10	$104.71	$204.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $162.18 / $162.18 / $162.18	Facility		$162.18	$162.18	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $75.86 / $131.83	Professional		$66.07	$75.86	$131.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $114.82 / $134.90	Professional		$81.28	$114.82	$134.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $77.62 / $194.98	Professional		$64.57	$77.62	$194.98
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $97.72 / $107.15	Facility		$87.10	$97.72	$107.15
United Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $81.28 / $107.15	Professional		$60.26	$81.28	$107.15