Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.46 / $63.47 / $182.06	Facility		$63.46	$63.47	$182.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.47 / $84.89 / $112.75	Professional		$63.47	$84.89	$112.75
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $463.00 / $463.00 / $463.00	Facility		$463.00	$463.00	$463.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $149.12 / $149.12 / $149.12	Professional		$149.12	$149.12	$149.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $106.63 / $106.63 / $186.43	Facility		$106.63	$106.63	$186.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.84 / $77.84 / $178.98	Professional		$77.84	$77.84	$178.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $170.34 / $171.52 / $244.22	Professional		$170.34	$171.52	$244.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.25 / $178.27 / $186.43	Professional		$163.25	$178.27	$186.43
United Facility/Professional Professional Modifier Low / Median / High Price $77.30 / $93.01 / $186.43	Professional		$77.30	$93.01	$186.43