Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.89 / $94.89 / $94.89	Facility		$94.89	$94.89	$94.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.89 / $121.86 / $171.37	Professional		$94.89	$121.86	$171.37
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $240.00 / $240.00 / $240.00	Professional		$240.00	$240.00	$240.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $142.00 / $142.00 / $267.62	Facility		$142.00	$142.00	$267.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.66 / $103.66 / $256.89	Professional		$103.66	$103.66	$256.89
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 $261.35 / $267.62 / $267.62	Professional		$261.35	$267.62	$267.62
United Facility/Professional Professional Modifier Low / Median / High Price $121.11 / $133.51 / $245.69	Professional		$121.11	$133.51	$245.69