Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.76 / $125.76 / $125.76	Facility		$125.76	$125.76	$125.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.76 / $174.67 / $240.19	Professional		$125.76	$174.67	$240.19
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $246.22 / $321.75 / $369.41	Professional		$246.22	$321.75	$369.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $211.27 / $211.27 / $369.41	Facility		$211.27	$211.27	$369.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.22 / $154.22 / $237.52	Professional		$154.22	$154.22	$237.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $337.48 / $339.86 / $483.93	Professional		$337.48	$339.86	$483.93
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.75 / $369.41 / $369.41	Professional		$360.75	$369.41	$369.41
United Facility/Professional Professional Modifier Low / Median / High Price $153.16 / $184.30 / $339.14	Professional		$153.16	$184.30	$339.14