Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.63 / $995.00 / $6,481.00	Facility		$58.63	$995.00	$6,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.92 / $66.84 / $207.61	Professional		$31.92	$66.84	$207.61
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $85.53 / $250.58 / $250.58	Professional		$85.53	$250.58	$250.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.40 / $66.94 / $160.66	Professional		$33.40	$66.94	$160.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $88.22 / $119.58 / $136.63	Professional		$88.22	$119.58	$136.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.84 / $442.74 / $921.30	Facility		$389.84	$442.74	$921.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.09 / $82.99 / $126.09	Professional		$35.09	$82.99	$126.09
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 $46.22 / $85.45 / $170.05	Professional		$46.22	$85.45	$170.05