Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.45 / $3,987.00 / $7,759.24	Facility		$123.45	$3,987.00	$7,759.24
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $123.46 / $391.08	Professional		$79.09	$123.46	$391.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $106.50 / $463.30	Professional		$106.50	$106.50	$463.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.25 / $138.15 / $273.81	Professional		$67.25	$138.15	$273.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $115.13 / $156.06 / $173.65	Professional		$115.13	$156.06	$173.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $782.90 / $970.14 / $2,103.73	Facility		$782.90	$970.14	$2,103.73
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $125.18 / $219.64	Professional		$70.45	$125.18	$219.64
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 $67.75 / $114.60 / $244.95	Professional		$67.75	$114.60	$244.95