Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $103.00 / $6,991.93	Facility		$73.20	$103.00	$6,991.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $104.60	Professional		$73.20	$73.20	$104.60
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $251.42 / $251.42 / $251.42	Facility		$251.42	$251.42	$251.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.43 / $82.84 / $107.21	Facility		$72.43	$82.84	$107.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $75.95	Professional		$73.20	$73.20	$75.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.95 / $75.95 / $95.63	Professional		$75.95	$75.95	$95.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.73 / $147.72 / $13,785.00	Facility		$72.73	$147.72	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.04 / $72.04 / $73.81	Professional		$72.04	$72.04	$73.81
United Facility/Professional Facility Modifier Low / Median / High Price $70.59 / $70.59 / $70.59	Facility		$70.59	$70.59	$70.59
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $77.23 / $87.84	Professional		$73.20	$77.23	$87.84