Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.71 / $170.82 / $286.00	Facility		$55.71	$170.82	$286.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $66.31 / $95.67	Professional		$47.55	$66.31	$95.67
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $282.24 / $439.92 / $781.15	Facility		$282.24	$439.92	$781.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $95.49 / $120.00 / $194.34	Professional		$95.49	$120.00	$194.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $80.00 / $163.65 / $163.65	Facility		$80.00	$163.65	$163.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.25 / $94.37 / $126.11	Professional		$64.25	$94.37	$126.11
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 $66.47 / $78.20 / $119.21	Professional		$66.47	$78.20	$119.21
United Facility/Professional Professional Modifier Low / Median / High Price $62.16 / $87.41 / $112.34	Professional		$62.16	$87.41	$112.34