Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.73 / $417.73 / $417.73	Facility		$417.73	$417.73	$417.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.08 / $447.09 / $586.95	Professional		$324.08	$447.09	$586.95
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,442.40 / $1,442.40 / $1,442.40	Professional		$1,442.40	$1,442.40	$1,442.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $617.78 / $647.80 / $647.80	Facility		$617.78	$647.80	$647.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.90 / $472.90 / $713.63	Professional		$472.90	$472.90	$713.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $568.36 / $679.56 / $809.29	Professional		$568.36	$679.56	$809.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $617.78 / $962.31 / $962.31	Professional		$617.78	$962.31	$962.31
United Facility/Professional Professional Modifier Low / Median / High Price $455.29 / $577.39 / $919.71	Professional		$455.29	$577.39	$919.71