Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $608.10 / $2,549.80 / $5,821.00	Facility		$608.10	$2,549.80	$5,821.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.92 / $182.61 / $430.51	Professional		$113.92	$182.61	$430.51
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,097.59 / $1,097.59 / $1,885.10	Facility		$1,097.59	$1,097.59	$1,885.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.27 / $231.39 / $412.25	Professional		$118.27	$231.39	$412.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $241.58 / $327.47 / $366.71	Professional		$241.58	$327.47	$366.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,346.67 / $1,433.32 / $1,488.21	Facility		$1,346.67	$1,433.32	$1,488.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $144.41 / $245.62 / $361.34	Professional		$144.41	$245.62	$361.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,141.00 / $3,236.00 / $7,273.00	Facility		$1,141.00	$3,236.00	$7,273.00
United Facility/Professional Professional Modifier Low / Median / High Price $134.69 / $227.06 / $453.11	Professional		$134.69	$227.06	$453.11