Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.53 / $3,297.00 / $9,784.00	Facility		$25.53	$3,297.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $49.02 / $127.10	Professional		$19.68	$49.02	$127.10
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $76.29 / $76.29 / $255.00	Professional		$76.29	$76.29	$255.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $51.76 / $125.59	Professional		$19.95	$51.76	$125.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $50.88 / $131.33	Professional		$24.00	$50.88	$131.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.84 / $549.24 / $921.30	Facility		$389.84	$549.24	$921.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $65.56 / $101.42	Professional		$21.42	$65.56	$101.42
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 $43.35 / $67.65 / $142.18	Professional		$43.35	$67.65	$142.18