Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $144.54 / $144.54	Facility		$33.11	$144.54	$144.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $85.11 / $190.55	Professional		$30.20	$85.11	$190.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $109.65 / $213.80	Professional		$37.15	$109.65	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $95.50 / $128.82	Professional		$60.26	$95.50	$128.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $87.10 / $87.10	Professional		$87.10	$87.10	$87.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $21.88 / $21.88	Professional		$18.62	$21.88	$21.88
United Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $63.10 / $79.43	Professional		$43.65	$63.10	$79.43