Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.67 / $1,071.00 / $5,982.00	Facility		$109.67	$1,071.00	$5,982.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.14 / $106.62 / $170.15	Professional		$76.14	$106.62	$170.15
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $574.60 / $574.60 / $574.60	Facility		$574.60	$574.60	$574.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.28 / $143.97 / $325.04	Professional		$82.28	$143.97	$325.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $93.79 / $159.60 / $165.20	Professional		$93.79	$159.60	$165.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $583.20 / $583.20 / $1,112.21	Facility		$583.20	$583.20	$1,112.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.91 / $114.74 / $275.06	Professional		$75.91	$114.74	$275.06
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 $88.19 / $141.36 / $369.76	Professional		$88.19	$141.36	$369.76