Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.58 / $92.58 / $157.72	Professional		$74.58	$92.58	$157.72
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $245.18 / $245.18 / $245.18	Professional		$245.18	$245.18	$245.18
Cigna Facility/Professional Facility Modifier Low / Median / High Price $129.12 / $129.12 / $131.69	Facility		$129.12	$129.12	$131.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.75 / $129.12 / $202.50	Professional		$109.75	$129.12	$202.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.10 / $149.10 / $222.44	Professional		$149.10	$149.10	$222.44
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $16.47 / $123.12	Professional		$16.47	$16.47	$123.12
United Facility/Professional Professional Modifier Low / Median / High Price $89.47 / $96.92 / $180.53	Professional		$89.47	$96.92	$180.53