Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $247.06 / $481.79 / $2,049.86	Facility		$247.06	$481.79	$2,049.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $247.07 / $349.63 / $396.24	Professional		$247.07	$349.63	$396.24
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $970.05 / $970.05 / $970.05	Facility		$970.05	$970.05	$970.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $455.69 / $1,027.76 / $2,136.15	Facility		$455.69	$1,027.76	$2,136.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.70 / $272.70 / $272.70	Professional		$272.70	$272.70	$272.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.48 / $610.67 / $849.36	Professional		$489.48	$610.67	$849.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
United Facility/Professional Facility Modifier Low / Median / High Price $256.39 / $256.39 / $256.39	Facility		$256.39	$256.39	$256.39
United Facility/Professional Professional Modifier Low / Median / High Price $195.79 / $279.70 / $475.49	Professional		$195.79	$279.70	$475.49