Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.24 / $420.22 / $900.28	Facility		$153.24	$420.22	$900.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $153.24 / $202.16 / $276.81	Professional		$153.24	$202.16	$276.81
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $396.00 / $396.00 / $396.00	Professional		$396.00	$396.00	$396.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $267.41 / $293.31 / $450.14	Facility		$267.41	$293.31	$450.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $351.30 / $432.10	Professional		$214.12	$351.30	$432.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $411.23 / $414.13 / $589.67	Professional		$411.23	$414.13	$589.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.16 / $439.59 / $450.14	Professional		$394.16	$439.59	$450.14
United Facility/Professional Facility Modifier Low / Median / High Price $493.69 / $580.80 / $696.97	Facility		$493.69	$580.80	$696.97
United Facility/Professional Professional Modifier Low / Median / High Price $197.33 / $224.57 / $450.14	Professional		$197.33	$224.57	$450.14