Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $280.75 / $280.75 / $498.90	Facility		$280.75	$280.75	$498.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $280.75 / $358.17 / $486.62	Professional		$280.75	$358.17	$486.62
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,027.20 / $1,027.20 / $1,027.20	Professional		$1,027.20	$1,027.20	$1,027.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $488.53 / $488.53 / $824.70	Facility		$488.53	$488.53	$824.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $356.63 / $520.79 / $755.97	Professional		$356.63	$520.79	$755.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $753.41 / $758.72 / $1,080.35	Professional		$753.41	$758.72	$1,080.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $788.58 / $824.70 / $824.70	Professional		$788.58	$824.70	$824.70
United Facility/Professional Professional Modifier Low / Median / High Price $359.77 / $411.43 / $818.74	Professional		$359.77	$411.43	$818.74