Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.60 / $196.04 / $873.79	Facility		$57.60	$196.04	$873.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.74 / $60.59 / $99.14	Professional		$47.74	$60.59	$99.14
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $234.81 / $332.98 / $475.20	Facility		$234.81	$332.98	$475.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $65.93 / $98.46 / $205.40	Professional		$65.93	$98.46	$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 $60.89 / $86.23 / $130.44	Professional		$60.89	$86.23	$130.44
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 / $116.88	Professional		$62.67	$73.73	$116.88
United Facility/Professional Professional Modifier Low / Median / High Price $62.12 / $85.76 / $109.24	Professional		$62.12	$85.76	$109.24