Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.22 / $4,294.00 / $10,692.00	Facility		$91.22	$4,294.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.64 / $107.46 / $279.05	Professional		$62.64	$107.46	$279.05
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $81.39 / $101.70 / $200.44	Professional		$81.39	$101.70	$200.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $110.84 / $285.33	Professional		$63.46	$110.84	$285.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $101.75 / $246.94	Professional		$28.80	$101.75	$246.94
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $890.20 / $935.50 / $1,972.74	Facility		$890.20	$935.50	$1,972.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.56 / $144.22 / $229.93	Professional		$70.56	$144.22	$229.93
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 $81.84 / $151.81 / $336.77	Professional		$81.84	$151.81	$336.77