Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.34 / $2,626.00 / $9,125.00	Facility		$229.34	$2,626.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.33 / $275.45 / $557.55	Professional		$184.33	$275.45	$557.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $208.80 / $208.80 / $208.80	Professional		$208.80	$208.80	$208.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.78 / $311.02 / $616.40	Professional		$172.78	$311.02	$616.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $373.95 / $506.91 / $576.71	Professional		$373.95	$506.91	$576.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $783.87 / $878.95 / $971.34	Facility		$783.87	$878.95	$971.34
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $203.07 / $353.75 / $515.13	Professional		$203.07	$353.75	$515.13
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 $197.00 / $337.34 / $687.38	Professional		$197.00	$337.34	$687.38