Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $141.28 / $2,286.00 / $7,770.00	Facility		$141.28	$2,286.00	$7,770.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.54 / $160.87 / $484.64	Professional		$120.54	$160.87	$484.64
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $164.04 / $164.04 / $218.45	Professional		$164.04	$164.04	$218.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $192.36 / $381.49	Professional		$98.79	$192.36	$381.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $194.25 / $308.89	Professional		$28.80	$194.25	$308.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,380.43 / $1,567.69 / $3,709.35	Facility		$1,380.43	$1,567.69	$3,709.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.88 / $203.04 / $300.18	Professional		$136.88	$203.04	$300.18
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 $109.25 / $188.67 / $366.65	Professional		$109.25	$188.67	$366.65