Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.93 / $1,782.00 / $8,419.00	Facility		$417.93	$1,782.00	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.92 / $430.87 / $1,622.58	Professional		$273.92	$430.87	$1,622.58
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $245.51 / $319.17 / $600.29	Professional		$245.51	$319.17	$600.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.68 / $497.02 / $1,095.52	Professional		$275.68	$497.02	$1,095.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $482.37 / $653.88 / $742.85	Professional		$482.37	$653.88	$742.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,433.32 / $1,692.05 / $3,227.16	Facility		$1,433.32	$1,692.05	$3,227.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.11 / $517.66 / $806.15	Professional		$288.11	$517.66	$806.15
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 $289.82 / $471.33 / $1,004.74	Professional		$289.82	$471.33	$1,004.74