Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.68 / $188.06 / $873.37	Facility		$50.68	$188.06	$873.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $51.21	Professional		$40.65	$40.65	$51.21
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $353.50 / $1,992.79 / $3,770.36	Facility		$353.50	$1,992.79	$3,770.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $123.25 / $123.25 / $123.25	Professional		$123.25	$123.25	$123.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.65 / $53.60 / $69.37	Facility		$40.65	$53.60	$69.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $41.20	Professional		$40.65	$40.65	$41.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $42.19 / $44.10 / $44.10	Professional		$42.19	$44.10	$44.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.75 / $43.46 / $49.75	Professional		$42.75	$43.46	$49.75
United Facility/Professional Professional Modifier Low / Median / High Price $40.65 / $40.65 / $49.81	Professional		$40.65	$40.65	$49.81