Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.77 / $2,286.00 / $6,986.00	Facility		$151.77	$2,286.00	$6,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.27 / $173.52 / $701.43	Professional		$132.27	$173.52	$701.43
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $115.28 / $115.28 / $115.44	Professional		$115.28	$115.28	$115.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.67 / $210.58 / $408.82	Professional		$104.67	$210.58	$408.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $214.64 / $290.95 / $329.09	Professional		$214.64	$290.95	$329.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,939.13 / $7,512.32 / $8,541.95	Facility		$3,939.13	$7,512.32	$8,541.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.51 / $216.53 / $339.21	Professional		$146.51	$216.53	$339.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.75 / $198.46 / $391.01	Professional		$116.75	$198.46	$391.01