Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $269.15 / $724.44	Facility		$74.13	$269.15	$724.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.86 / $288.40	Professional		$48.98	$75.86	$288.40
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $239.88 / $389.05 / $812.83	Facility		$239.88	$389.05	$812.83
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $107.15 / $114.82	Professional		$107.15	$107.15	$114.82
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