Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.27 / $4,370.00 / $10,871.00	Facility		$83.27	$4,370.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.18 / $102.90 / $190.73	Professional		$62.18	$102.90	$190.73
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $173.16 / $173.16 / $173.16	Professional		$173.16	$173.16	$173.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.67 / $114.39 / $273.26	Professional		$63.67	$114.39	$273.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $101.75 / $228.11	Professional		$43.20	$101.75	$228.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $935.50 / $1,852.45 / $2,106.33	Facility		$935.50	$1,852.45	$2,106.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.03 / $143.55 / $220.11	Professional		$68.03	$143.55	$220.11
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 $65.81 / $134.24 / $286.45	Professional		$65.81	$134.24	$286.45