Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $94.58 / $150.08	Professional		$76.19	$94.58	$150.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $250.47 / $250.47 / $250.47	Professional		$250.47	$250.47	$250.47
Cigna Facility/Professional Facility Modifier Low / Median / High Price $110.00 / $110.00 / $112.20	Facility		$110.00	$110.00	$112.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.50 / $93.50 / $234.38	Professional		$93.50	$93.50	$234.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $149.37 / $149.37 / $227.23	Professional		$149.37	$149.37	$227.23
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.00 / $116.00 / $116.00	Professional		$116.00	$116.00	$116.00
United Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $88.82 / $161.08	Professional		$78.84	$88.82	$161.08