Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.79 / $3,149.00 / $8,155.00	Facility		$223.79	$3,149.00	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.17 / $263.14 / $684.46	Professional		$173.17	$263.14	$684.46
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $379.80 / $379.80 / $380.34	Professional		$379.80	$379.80	$380.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $165.76 / $289.33 / $601.44	Professional		$165.76	$289.33	$601.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $345.39 / $468.20 / $531.54	Professional		$345.39	$468.20	$531.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.95 / $1,080.00 / $3,111.00	Facility		$878.95	$1,080.00	$3,111.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $193.63 / $321.06 / $478.19	Professional		$193.63	$321.06	$478.19
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 $178.73 / $315.07 / $638.91	Professional		$178.73	$315.07	$638.91