Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $5.63 / $56.13 / $122.73	Facility		$5.63	$56.13	$122.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.13 / $71.73 / $90.86	Professional		$56.13	$71.73	$90.86
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $223.20 / $223.20 / $223.20	Professional		$223.20	$223.20	$223.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $93.08 / $115.38 / $164.87	Facility		$93.08	$115.38	$164.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.23 / $84.23 / $144.37	Professional		$84.23	$84.23	$144.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.63 / $151.68 / $215.98	Professional		$150.63	$151.68	$215.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.27 / $76.27 / $109.67	Professional		$76.27	$76.27	$109.67
United Facility/Professional Professional Modifier Low / Median / High Price $70.72 / $83.25 / $151.37	Professional		$70.72	$83.25	$151.37