Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.00 / $52.00 / $52.00	Facility		$52.00	$52.00	$52.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.75 / $48.75 / $100.36	Professional		$48.75	$48.75	$100.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $179.20 / $179.20 / $179.20	Professional		$179.20	$179.20	$179.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $166.03 / $422.08 / $751.00	Professional		$166.03	$422.08	$751.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $300.45 / $300.45 / $300.45	Professional		$300.45	$300.45	$300.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.40 / $183.40 / $215.76	Professional		$183.40	$183.40	$215.76
United Facility/Professional Professional Modifier Low / Median / High Price $180.00 / $190.00 / $216.00	Professional		$180.00	$190.00	$216.00