Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.87 / $2,626.00 / $9,284.00	Facility		$22.87	$2,626.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $36.31 / $130.68	Professional		$21.61	$36.31	$130.68
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $40.98 / $40.98 / $133.24	Professional		$40.98	$40.98	$133.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.45 / $40.53 / $77.88	Professional		$21.45	$40.53	$77.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $62.17 / $71.20	Professional		$45.86	$62.17	$71.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.38 / $139.08 / $275.42	Facility		$120.38	$139.08	$275.42
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.04 / $44.32 / $66.88	Professional		$23.04	$44.32	$66.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.19 / $42.84 / $86.43	Professional		$25.19	$42.84	$86.43