Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.81 / $33.81 / $216.30	Facility		$33.81	$33.81	$216.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $41.00 / $180.00	Professional		$30.00	$41.00	$180.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $101.25 / $320.00 / $585.00	Professional		$101.25	$320.00	$585.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.00 / $192.00 / $270.00	Professional		$122.00	$192.00	$270.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.00 / $190.50 / $252.52	Professional		$96.00	$190.50	$252.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $44.00 / $85.00	Professional		$37.40	$44.00	$85.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $140.00 / $189.00	Professional		$130.00	$140.00	$189.00