Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.55 / $1,263.00 / $4,294.00	Facility		$137.55	$1,263.00	$4,294.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.84 / $94.19 / $364.00	Professional		$48.84	$94.19	$364.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $456.30 / $1,163.96 / $1,807.45	Facility		$456.30	$1,163.96	$1,807.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.05 / $108.43 / $200.84	Professional		$51.05	$108.43	$200.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.87 / $159.78 / $178.45	Professional		$117.87	$159.78	$178.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.27 / $857.38 / $1,047.55	Facility		$465.27	$857.38	$1,047.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.08 / $112.71 / $188.20	Professional		$52.08	$112.71	$188.20
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 $66.95 / $108.68 / $231.80	Professional		$66.95	$108.68	$231.80