Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.55 / $2,942.00 / $8,155.00	Facility		$144.55	$2,942.00	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.03 / $184.24 / $342.24	Professional		$133.03	$184.24	$342.24
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $640.00 / $640.00 / $640.00	Professional		$640.00	$640.00	$640.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $152.55 / $256.82 / $561.40	Professional		$152.55	$256.82	$561.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $195.13 / $349.07	Professional		$30.00	$195.13	$349.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,939.13 / $7,512.32 / $8,541.95	Facility		$3,939.13	$7,512.32	$8,541.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.54 / $225.63 / $449.33	Professional		$130.54	$225.63	$449.33
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 $180.91 / $271.38 / $637.49	Professional		$180.91	$271.38	$637.49