Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.32 / $496.03 / $1,350.37	Facility		$142.32	$496.03	$1,350.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.78 / $471.86 / $553.14	Professional		$416.78	$471.86	$553.14
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $468.71 / $891.80 / $3,574.46	Facility		$468.71	$891.80	$3,574.46
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.00 / $13.00 / $315.00	Professional		$13.00	$13.00	$315.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $407.41 / $833.56 / $1,423.83	Facility		$407.41	$833.56	$1,423.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $291.75 / $541.80 / $759.37	Professional		$291.75	$541.80	$759.37
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.05 / $250.07 / $500.14	Professional		$175.05	$250.07	$500.14