Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.01 / $3,985.00 / $9,383.00	Facility		$67.01	$3,985.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.45 / $93.65 / $168.88	Professional		$52.45	$93.65	$168.88
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $184.68 / $184.68 / $184.68	Facility		$184.68	$184.68	$184.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $149.34 / $354.41	Professional		$64.23	$149.34	$354.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $101.19 / $152.43 / $186.95	Professional		$101.19	$152.43	$186.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $890.20 / $935.50 / $1,972.74	Facility		$890.20	$935.50	$1,972.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.93 / $96.67 / $176.40	Professional		$44.93	$96.67	$176.40
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.66 / $98.77 / $238.77	Professional		$58.66	$98.77	$238.77