Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.91 / $2,626.00 / $10,202.00	Facility		$28.91	$2,626.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.91 / $56.46 / $161.21	Professional		$28.91	$56.46	$161.21
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $65.81 / $102.00	Professional		$46.61	$65.81	$102.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.09 / $65.38 / $162.05	Professional		$34.09	$65.38	$162.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $71.23 / $165.95	Professional		$19.20	$71.23	$165.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.71 / $483.09 / $1,047.55	Facility		$402.71	$483.09	$1,047.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $85.93 / $154.72	Professional		$36.29	$85.93	$154.72
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 $54.90 / $99.28 / $203.59	Professional		$54.90	$99.28	$203.59