Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.50 / $1,454.00 / $4,477.00	Facility		$157.50	$1,454.00	$4,477.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.38 / $79.54 / $344.00	Professional		$39.38	$79.54	$344.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $450.68 / $3,896.23 / $5,825.56	Facility		$450.68	$3,896.23	$5,825.56
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $176.80 / $176.80 / $176.80	Professional		$176.80	$176.80	$176.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.24 / $92.53 / $166.45	Professional		$41.24	$92.53	$166.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $98.52 / $133.55 / $149.71	Professional		$98.52	$133.55	$149.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.71 / $402.71 / $483.09	Facility		$402.71	$402.71	$483.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.68 / $94.15 / $166.29	Professional		$41.68	$94.15	$166.29
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 $53.83 / $93.11 / $199.83	Professional		$53.83	$93.11	$199.83