Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $447.92 / $669.70 / $1,067.95	Facility		$447.92	$669.70	$1,067.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $399.77 / $494.39 / $791.02	Professional		$399.77	$494.39	$791.02
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $680.46 / $1,120.00 / $1,500.00	Professional		$680.46	$1,120.00	$1,500.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $788.33 / $812.83 / $952.31	Facility		$788.33	$812.83	$952.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $593.37 / $593.37 / $989.26	Professional		$593.37	$593.37	$989.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $725.26 / $867.16 / $1,154.15	Professional		$725.26	$867.16	$1,154.15
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $788.33 / $1,050.44 / $1,050.44	Professional		$788.33	$1,050.44	$1,050.44
United Facility/Professional Professional Modifier Low / Median / High Price $543.83 / $630.26 / $1,080.91	Professional		$543.83	$630.26	$1,080.91