Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.73 / $217.32 / $407.24	Facility		$77.73	$217.32	$407.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.73 / $109.16 / $199.93	Professional		$77.73	$109.16	$199.93
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $196.75 / $196.75 / $196.75	Facility		$196.75	$196.75	$196.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $228.32	Facility		$130.59	$130.59	$228.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.33 / $139.21 / $212.19	Professional		$95.33	$139.21	$212.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $208.61 / $210.05 / $299.10	Professional		$208.61	$210.05	$299.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.32 / $228.32 / $228.32	Professional		$217.32	$228.32	$228.32
United Facility/Professional Professional Modifier Low / Median / High Price $94.68 / $113.91 / $228.32	Professional		$94.68	$113.91	$228.32