Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $99.67 / $4,516.00 / $9,383.00	Facility		$99.67	$4,516.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $113.80 / $240.09	Professional		$86.57	$113.80	$240.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $61.55 / $123.29 / $164.13	Professional		$61.55	$123.29	$164.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.09 / $138.44 / $276.14	Professional		$74.09	$138.44	$276.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $115.63 / $228.61	Professional		$19.20	$115.63	$228.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,547.88 / $1,647.48 / $3,474.07	Facility		$1,547.88	$1,647.48	$3,474.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.19 / $148.58 / $210.47	Professional		$98.19	$148.58	$210.47
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.86 / $143.28 / $270.36	Professional		$80.86	$143.28	$270.36