Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.37 / $90.79 / $4,612.12	Facility		$71.37	$90.79	$4,612.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $84.51	Professional		$71.37	$71.37	$84.51
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $63.72 / $63.72 / $63.72	Professional		$63.72	$63.72	$63.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.98 / $71.37 / $89.28	Facility		$68.98	$71.37	$89.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $73.72	Professional		$71.37	$71.37	$73.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $77.43 / $93.07	Professional		$74.06	$77.43	$93.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.63 / $151.34 / $13,785.00	Facility		$67.63	$151.34	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.69 / $65.31 / $69.84	Professional		$60.69	$65.31	$69.84
United Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $72.80 / $85.09	Professional		$71.37	$72.80	$85.09