Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $643.23 / $643.23 / $643.23	Facility		$643.23	$643.23	$643.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $503.94 / $561.07 / $809.71	Professional		$503.94	$561.07	$809.71
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $122.04 / $122.04 / $122.04	Professional		$122.04	$122.04	$122.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $578.29 / $578.29 / $578.29	Facility		$578.29	$578.29	$578.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.80 / $578.29 / $866.25	Professional		$201.80	$578.29	$866.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,453.50 / $1,453.50 / $1,453.50	Professional		$1,453.50	$1,453.50	$1,453.50
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $635.60 / $635.60 / $635.60	Professional		$635.60	$635.60	$635.60
United Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $451.20 / $634.90	Professional		$47.67	$451.20	$634.90