Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $206.11 / $1,332.00 / $6,481.00	Facility		$206.11	$1,332.00	$6,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.88 / $221.70 / $895.75	Professional		$146.88	$221.70	$895.75
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $525.00 / $525.00 / $525.00	Facility		$525.00	$525.00	$525.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $453.10 / $453.10 / $453.10	Professional		$453.10	$453.10	$453.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.19 / $244.30 / $508.73	Professional		$143.19	$244.30	$508.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $291.33 / $394.93 / $449.69	Professional		$291.33	$394.93	$449.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.95 / $971.34 / $1,723.95	Facility		$878.95	$971.34	$1,723.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.55 / $274.38 / $406.21	Professional		$159.55	$274.38	$406.21
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 $158.69 / $269.75 / $523.86	Professional		$158.69	$269.75	$523.86