Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $616.60 / $2,691.53	Facility		$426.58	$616.60	$2,691.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $380.19 / $537.03	Professional		$281.84	$380.19	$537.03
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $977.24 / $977.24	Facility		$977.24	$977.24	$977.24
Cigna Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $1,023.29 / $2,137.96	Facility		$537.03	$1,023.29	$2,137.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $275.42 / $275.42	Professional		$275.42	$275.42	$275.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $630.96 / $1,023.29	Professional		$489.78	$630.96	$1,023.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $8,709.64 / $25,118.86	Facility		$426.58	$8,709.64	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $446.68 / $478.63	Professional		$371.54	$446.68	$478.63
United Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $467.74 / $954.99	Facility		$218.78	$467.74	$954.99
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $281.84 / $489.78	Professional		$186.21	$281.84	$489.78