Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.43 / $4,294.00 / $8,155.00	Facility		$232.43	$4,294.00	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.65 / $265.91 / $742.87	Professional		$176.65	$265.91	$742.87
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $347.88 / $347.88 / $347.88	Professional		$347.88	$347.88	$347.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $137.09 / $285.50 / $624.64	Professional		$137.09	$285.50	$624.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $1,710.56 / $3,709.35	Facility		$1,426.00	$1,710.56	$3,709.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.30 / $332.92 / $492.22	Professional		$200.30	$332.92	$492.22
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 $167.78 / $305.17 / $614.16	Professional		$167.78	$305.17	$614.16