Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.26 / $67.27 / $987.71	Facility		$67.26	$67.27	$987.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $67.95	Professional		$67.27	$67.27	$67.95
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $156.65 / $156.65 / $156.65	Professional		$156.65	$156.65	$156.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.27 / $102.00 / $132.00	Facility		$67.27	$102.00	$132.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $76.16	Professional		$67.27	$67.27	$76.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $67.27 / $95.21	Professional		$66.64	$67.27	$95.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $63.62 / $13,785.00 / $13,785.00	Facility		$63.62	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.02 / $66.02 / $85.00	Professional		$66.02	$66.02	$85.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.27 / $67.27 / $72.73	Professional		$67.27	$67.27	$72.73