Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.20 / $105.20 / $524.45	Facility		$105.20	$105.20	$524.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $140.71 / $186.86	Professional		$105.20	$140.71	$186.86
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $209.30 / $209.30 / $209.30	Facility		$209.30	$209.30	$209.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $176.75 / $176.75 / $309.02	Facility		$176.75	$176.75	$309.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.03 / $129.03 / $303.80	Professional		$129.03	$129.03	$303.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $282.33 / $284.31 / $404.83	Professional		$282.33	$284.31	$404.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.50 / $309.02 / $309.02	Professional		$295.50	$309.02	$309.02
United Facility/Professional Professional Modifier Low / Median / High Price $128.13 / $156.66 / $283.72	Professional		$128.13	$156.66	$283.72