Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.27 / $199.60 / $315.44	Professional		$122.27	$199.60	$315.44
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $382.50 / $382.50 / $382.50	Professional		$382.50	$382.50	$382.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $263.45 / $325.44	Facility		$263.45	$263.45	$325.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $223.93 / $223.93 / $548.44	Professional		$223.93	$223.93	$548.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $348.25 / $348.25 / $364.67	Professional		$348.25	$348.25	$364.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.97 / $26.97 / $251.44	Professional		$26.97	$26.97	$251.44
United Facility/Professional Professional Modifier Low / Median / High Price $155.54 / $212.51 / $310.45	Professional		$155.54	$212.51	$310.45