Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.16 / $235.48 / $465.71	Professional		$179.16	$235.48	$465.71
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $589.02 / $589.02 / $589.02	Professional		$589.02	$589.02	$589.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $279.36 / $279.36 / $382.62	Facility		$279.36	$279.36	$382.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $237.46 / $279.36 / $648.75	Professional		$237.46	$279.36	$648.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $673.46 / $673.46 / $673.46	Professional		$673.46	$673.46	$673.46
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.56 / $371.20 / $371.20	Professional		$39.56	$371.20	$371.20
United Facility/Professional Professional Modifier Low / Median / High Price $229.04 / $313.02 / $433.69	Professional		$229.04	$313.02	$433.69