Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.51 / $4,294.00 / $9,860.00	Facility		$69.51	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.51 / $80.14 / $165.98	Professional		$48.51	$80.14	$165.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $87.50 / $303.18 / $303.18	Professional		$87.50	$303.18	$303.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.72 / $96.10 / $189.05	Professional		$47.72	$96.10	$189.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.65 / $132.37 / $149.00	Professional		$97.65	$132.37	$149.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $970.14 / $970.14 / $1,970.30	Facility		$970.14	$970.14	$1,970.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.74 / $101.74 / $158.43	Professional		$51.74	$101.74	$158.43
United Facility/Professional Facility Modifier Low / Median / High Price $1,141.00 / $3,236.00 / $7,273.00	Facility		$1,141.00	$3,236.00	$7,273.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.58 / $92.25 / $184.29	Professional		$55.58	$92.25	$184.29