Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.20 / $132.88 / $11,775.44	Facility		$75.20	$132.88	$11,775.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $90.26	Professional		$75.22	$75.22	$90.26
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $290.58 / $290.58 / $290.58	Facility		$290.58	$290.58	$290.58
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $82.62 / $82.62 / $82.62	Professional		$82.62	$82.62	$82.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.22 / $95.71 / $123.86	Facility		$75.22	$95.71	$123.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $75.22 / $78.06	Professional		$75.22	$75.22	$78.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.06 / $78.06 / $101.55	Professional		$78.06	$78.06	$101.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $76.43 / $319.12 / $13,785.00	Facility		$76.43	$319.12	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.70 / $76.01 / $81.04	Professional		$75.70	$76.01	$81.04
United Facility/Professional Professional Modifier Low / Median / High Price $75.22 / $78.98 / $90.26	Professional		$75.22	$78.98	$90.26