Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.61 / $85.17 / $153.01	Professional		$68.61	$85.17	$153.01
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $225.56 / $225.56 / $225.56	Professional		$225.56	$225.56	$225.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $114.47 / $114.47 / $150.25	Facility		$114.47	$114.47	$150.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.30 / $114.47 / $202.50	Professional		$97.30	$114.47	$202.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.31 / $150.31 / $204.64	Professional		$150.31	$150.31	$204.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $117.13 / $117.13	Professional		$15.15	$117.13	$117.13
United Facility/Professional Professional Modifier Low / Median / High Price $84.91 / $117.18 / $135.97	Professional		$84.91	$117.18	$135.97