Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.39 / $2,067.00 / $8,419.00	Facility		$45.39	$2,067.00	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.76 / $50.16 / $114.68	Professional		$31.76	$50.16	$114.68
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $342.65 / $342.65 / $342.65	Facility		$342.65	$342.65	$342.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $69.80 / $127.94	Professional		$36.90	$69.80	$127.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $102.80 / $113.43	Professional		$75.83	$102.80	$113.43
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.97 / $75.66 / $107.10	Professional		$51.97	$75.66	$107.10
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 $40.11 / $72.56 / $139.77	Professional		$40.11	$72.56	$139.77