Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.00 / $34.00 / $34.00	Facility		$34.00	$34.00	$34.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.00 / $44.50 / $62.44	Professional		$34.00	$44.50	$62.44
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $93.75 / $93.75 / $99.14	Professional		$93.75	$93.75	$99.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $61.21 / $95.90	Facility		$60.32	$61.21	$95.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.68 / $44.68 / $102.08	Professional		$44.68	$44.68	$102.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.61 / $88.23 / $125.63	Professional		$87.61	$88.23	$125.63
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.69 / $95.90 / $95.90	Professional		$91.69	$95.90	$95.90
United Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $127.86 / $153.43	Facility		$108.68	$127.86	$153.43
United Facility/Professional Professional Modifier Low / Median / High Price $45.04 / $49.62 / $95.90	Professional		$45.04	$49.62	$95.90