Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.01 / $3,827.00 / $6,986.00	Facility		$90.01	$3,827.00	$6,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.29 / $146.60 / $254.65	Professional		$69.29	$146.60	$254.65
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,666.80 / $1,666.80 / $5,818.25	Facility		$1,666.80	$1,666.80	$5,818.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.00 / $199.50 / $499.10	Professional		$86.00	$199.50	$499.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.18 / $352.61 / $364.39	Professional		$218.18	$352.61	$364.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,178.88 / $3,178.88 / $8,000.16	Facility		$3,178.88	$3,178.88	$8,000.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.65 / $242.52 / $434.48	Professional		$82.65	$242.52	$434.48
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $188.17 / $268.30 / $633.35	Professional		$188.17	$268.30	$633.35