Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $128.36 / $1,486.00 / $6,792.45	Facility		$128.36	$1,486.00	$6,792.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.40 / $141.68 / $316.64	Professional		$84.40	$141.68	$316.64
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,145.79 / $1,145.79 / $1,145.79	Facility		$1,145.79	$1,145.79	$1,145.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.56 / $182.26 / $387.01	Professional		$86.56	$182.26	$387.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $94.82 / $397.63	Professional		$9.60	$94.82	$397.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,547.88 / $1,710.56 / $3,474.07	Facility		$1,547.88	$1,710.56	$3,474.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.55 / $196.95 / $306.52	Professional		$97.55	$196.95	$306.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.02 / $198.89 / $409.95	Professional		$101.02	$198.89	$409.95