Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $40.07 / $40.07	Facility		$40.07	$40.07	$40.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.07 / $47.82 / $59.42	Professional		$40.07	$47.82	$59.42
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $79.52 / $94.13 / $195.00	Professional		$79.52	$94.13	$195.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $117.69	Facility		$56.94	$58.00	$117.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.34 / $42.34 / $104.25	Professional		$42.34	$42.34	$104.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $107.51 / $108.27 / $154.16	Professional		$107.51	$108.27	$154.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.53 / $117.69 / $117.69	Professional		$112.53	$117.69	$117.69
United Facility/Professional Professional Modifier Low / Median / High Price $41.29 / $58.71 / $117.69	Professional		$41.29	$58.71	$117.69