Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.03 / $3,406.50 / $8,084.00	Facility		$122.03	$3,406.50	$8,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.03 / $120.53 / $223.36	Professional		$73.03	$120.53	$223.36
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,193.70 / $4,193.70 / $4,193.70	Facility		$4,193.70	$4,193.70	$4,193.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.73 / $126.00 / $243.58	Professional		$76.73	$126.00	$243.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $158.80 / $215.26 / $243.34	Professional		$158.80	$215.26	$243.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,707.40 / $4,024.24 / $4,447.22	Facility		$3,707.40	$4,024.24	$4,447.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $148.22 / $227.21	Professional		$79.09	$148.22	$227.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.62 / $146.34 / $303.47	Professional		$88.62	$146.34	$303.47