Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.34 / $4,516.00 / $11,298.00	Facility		$158.34	$4,516.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.28 / $149.32 / $244.09	Professional		$127.28	$149.32	$244.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $637.50	Professional		$600.00	$600.00	$637.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.25 / $211.62 / $438.27	Professional		$144.25	$211.62	$438.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $150.47 / $222.01 / $228.66	Professional		$150.47	$222.01	$228.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.03 / $170.85 / $361.86	Professional		$119.03	$170.85	$361.86
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 $114.58 / $181.01 / $411.60	Professional		$114.58	$181.01	$411.60