Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.50 / $1,320.00 / $4,294.00	Facility		$122.50	$1,320.00	$4,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $96.18 / $364.00	Professional		$51.79	$96.18	$364.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $590.26 / $2,185.12 / $3,267.14	Facility		$590.26	$2,185.12	$3,267.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.01 / $110.38 / $198.74	Professional		$54.01	$110.38	$198.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.90 / $162.53 / $181.32	Professional		$119.90	$162.53	$181.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $483.09 / $857.38 / $1,047.55	Facility		$483.09	$857.38	$1,047.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $117.28 / $186.29	Professional		$55.28	$117.28	$186.29
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 $67.00 / $114.04 / $231.75	Professional		$67.00	$114.04	$231.75