Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.28 / $4,294.00 / $9,860.00	Facility		$107.28	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.95 / $119.20 / $243.50	Professional		$74.95	$119.20	$243.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $157.94 / $157.94	Professional		$157.94	$157.94	$157.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.79 / $124.37 / $267.14	Professional		$71.79	$124.37	$267.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $146.02 / $197.93 / $226.04	Professional		$146.02	$197.93	$226.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.84 / $483.09 / $981.13	Facility		$389.84	$483.09	$981.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.69 / $137.59 / $207.19	Professional		$81.69	$137.59	$207.19
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 $82.32 / $130.81 / $267.19	Professional		$82.32	$130.81	$267.19