Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.71 / $302.00 / $524.81	Facility		$104.71	$302.00	$524.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $154.88 / $398.11	Professional		$120.23	$154.88	$398.11
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $208.93 / $208.93 / $208.93	Facility		$208.93	$208.93	$208.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $316.23	Facility		$177.83	$177.83	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $177.83	Professional		$128.82	$128.82	$177.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $331.13 / $457.09	Professional		$204.17	$331.13	$457.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $107.15 / $309.03 / $389.05	Facility		$107.15	$309.03	$389.05
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $154.88 / $257.04	Professional		$138.04	$154.88	$257.04