Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.45 / $56.45 / $56.45	Facility		$56.45	$56.45	$56.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $75.20 / $103.00	Professional		$56.45	$75.20	$103.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $121.60 / $160.00 / $175.70	Professional		$121.60	$160.00	$175.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.80 / $96.73 / $165.83	Facility		$95.80	$96.73	$165.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.61 / $70.61 / $198.38	Professional		$70.61	$70.61	$198.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.50 / $152.56 / $217.24	Professional		$151.50	$152.56	$217.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.94 / $165.83 / $165.83	Professional		$161.94	$165.83	$165.83
United Facility/Professional Professional Modifier Low / Median / High Price $66.17 / $82.73 / $152.22	Professional		$66.17	$82.73	$152.22