Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.70 / $4,294.00 / $9,860.00	Facility		$125.70	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.07 / $139.47 / $247.80	Professional		$91.07	$139.47	$247.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $140.10 / $140.10 / $140.10	Professional		$140.10	$140.10	$140.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.49 / $151.50 / $322.44	Professional		$84.49	$151.50	$322.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.28 / $233.53 / $266.55	Professional		$172.28	$233.53	$266.55
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 $99.32 / $161.93 / $241.19	Professional		$99.32	$161.93	$241.19
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 $88.43 / $159.15 / $314.69	Professional		$88.43	$159.15	$314.69