Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.11 / $91.11 / $100.70	Facility		$91.11	$91.11	$100.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.11 / $116.46 / $161.82	Professional		$91.11	$116.46	$161.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $177.60 / $177.60 / $177.60	Professional		$177.60	$177.60	$177.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $135.00 / $135.00 / $267.62	Facility		$135.00	$135.00	$267.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.55 / $135.00 / $234.34	Professional		$98.55	$135.00	$234.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $244.49 / $246.21 / $350.58	Professional		$244.49	$246.21	$350.58
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.73 / $267.62 / $267.62	Professional		$254.73	$267.62	$267.62
United Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $133.51 / $267.62	Professional		$118.00	$133.51	$267.62