Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.06 / $3,987.00 / $9,784.00	Facility		$154.06	$3,987.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $137.11 / $320.83 / $520.13	Professional		$137.11	$320.83	$520.13
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,200.00 / $1,200.00 / $1,200.00	Professional		$1,200.00	$1,200.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.84 / $417.23 / $992.19	Professional		$153.84	$417.23	$992.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $330.88 / $549.45 / $565.73	Professional		$330.88	$549.45	$565.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,939.13 / $3,939.13 / $7,512.32	Facility		$3,939.13	$3,939.13	$7,512.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.97 / $374.37 / $815.58	Professional		$137.97	$374.37	$815.58
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $299.56 / $495.19 / $1,132.05	Professional		$299.56	$495.19	$1,132.05