Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $4,174.00 / $10,692.00	Facility		$67.09	$4,174.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.09 / $87.01 / $522.00	Professional		$44.09	$87.01	$522.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $53.50 / $140.58 / $236.80	Professional		$53.50	$140.58	$236.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $81.09 / $215.49	Professional		$44.41	$81.09	$215.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $85.57 / $192.13	Professional		$24.00	$85.57	$192.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.74 / $483.09 / $921.30	Facility		$442.74	$483.09	$921.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.76 / $109.95 / $170.79	Professional		$48.76	$109.95	$170.79
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 $47.82 / $102.62 / $235.09	Professional		$47.82	$102.62	$235.09