Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.63 / $3,827.00 / $9,383.00	Facility		$157.63	$3,827.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.00 / $252.93 / $654.29	Professional		$176.00	$252.93	$654.29
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $155.72 / $155.72	Professional		$155.72	$155.72	$155.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $150.91 / $283.45 / $608.53	Professional		$150.91	$283.45	$608.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $306.62 / $415.64 / $470.29	Professional		$306.62	$415.64	$470.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,564.48 / $3,793.84 / $8,000.16	Facility		$3,564.48	$3,793.84	$8,000.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $197.47 / $305.11 / $469.97	Professional		$197.47	$305.11	$469.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $3,403.00 / $5,864.00	Facility		$1,800.00	$3,403.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $168.54 / $283.94 / $573.05	Professional		$168.54	$283.94	$573.05