Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.91 / $42.91 / $42.91	Facility		$42.91	$42.91	$42.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.29 / $47.36 / $69.47	Professional		$37.29	$47.36	$69.47
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $97.10 / $173.60 / $173.60	Professional		$97.10	$173.60	$173.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $75.59 / $84.97 / $87.14	Facility		$75.59	$84.97	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.03 / $62.03 / $90.58	Professional		$62.03	$62.03	$90.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.54 / $83.15 / $110.56	Professional		$69.54	$83.15	$110.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $100.63 / $100.63	Professional		$75.59	$100.63	$100.63
United Facility/Professional Professional Modifier Low / Median / High Price $50.30 / $60.38 / $102.24	Professional		$50.30	$60.38	$102.24