Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.49 / $4,294.00 / $10,871.00	Facility		$87.49	$4,294.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.74 / $106.95 / $198.77	Professional		$61.74	$106.95	$198.77
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $67.34 / $67.34 / $130.84	Professional		$67.34	$67.34	$130.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.69 / $114.80 / $279.47	Professional		$64.69	$114.80	$279.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.10 / $211.60 / $241.15	Professional		$156.10	$211.60	$241.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $809.75 / $890.20 / $1,723.95	Facility		$809.75	$890.20	$1,723.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.29 / $133.57 / $219.20	Professional		$67.29	$133.57	$219.20
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 $79.97 / $145.76 / $295.25	Professional		$79.97	$145.76	$295.25