Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.58 / $46.58 / $46.58	Facility		$46.58	$46.58	$46.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.58 / $62.88 / $84.65	Professional		$46.58	$62.88	$84.65
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $109.45 / $109.45 / $109.45	Professional		$109.45	$109.45	$109.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $77.00 / $86.88 / $136.84	Facility		$77.00	$86.88	$136.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.42 / $63.42 / $157.13	Professional		$63.42	$63.42	$157.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.01 / $125.89 / $179.26	Professional		$125.01	$125.89	$179.26
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.24 / $136.84 / $136.84	Professional		$130.24	$136.84	$136.84
United Facility/Professional Professional Modifier Low / Median / High Price $61.37 / $68.27 / $136.84	Professional		$61.37	$68.27	$136.84