Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.27 / $4,174.00 / $9,860.00	Facility		$110.27	$4,174.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.23 / $123.04 / $462.69	Professional		$75.23	$123.04	$462.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $146.60 / $146.60 / $1,988.45	Professional		$146.60	$146.60	$1,988.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.19 / $125.02 / $273.30	Professional		$74.19	$125.02	$273.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $153.69 / $208.35 / $238.13	Professional		$153.69	$208.35	$238.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.14 / $442.74 / $483.09	Facility		$437.14	$442.74	$483.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.03 / $144.53 / $215.69	Professional		$82.03	$144.53	$215.69
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 $81.47 / $131.88 / $280.50	Professional		$81.47	$131.88	$280.50