Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.20 / $41.20 / $41.20	Facility		$41.20	$41.20	$41.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.20 / $52.67 / $69.65	Professional		$41.20	$52.67	$69.65
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $84.00 / $84.00 / $84.00	Professional		$84.00	$84.00	$84.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.58 / $88.85 / $121.02	Facility		$65.58	$88.85	$121.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.86 / $64.86 / $116.17	Professional		$64.86	$64.86	$116.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $110.56 / $111.34 / $158.54	Professional		$110.56	$111.34	$158.54
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $118.18 / $121.02 / $121.02	Professional		$118.18	$121.02	$121.02
United Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $60.38 / $121.02	Professional		$50.26	$60.38	$121.02