Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $189.14 / $4,257.00 / $9,383.00	Facility		$189.14	$4,257.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.70 / $277.35 / $603.21	Professional		$202.70	$277.35	$603.21
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,250.00 / $1,250.00 / $1,250.00	Facility		$1,250.00	$1,250.00	$1,250.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $306.10 / $306.10 / $306.10	Professional		$306.10	$306.10	$306.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $189.34 / $324.85 / $689.28	Professional		$189.34	$324.85	$689.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $364.84 / $494.56 / $562.03	Professional		$364.84	$494.56	$562.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,200.99 / $1,346.67 / $2,838.15	Facility		$1,200.99	$1,346.67	$2,838.15
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $219.73 / $352.98 / $527.79	Professional		$219.73	$352.98	$527.79
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 $198.79 / $339.87 / $685.93	Professional		$198.79	$339.87	$685.93