Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.67 / $94.41 / $1,302.00	Facility		$69.67	$94.41	$1,302.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $87.93 / $153.97	Professional		$62.56	$87.93	$153.97
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $238.85 / $238.85 / $238.85	Professional		$238.85	$238.85	$238.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.75 / $117.36 / $251.91	Professional		$71.75	$117.36	$251.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.39 / $139.38 / $160.54	Professional		$87.39	$139.38	$160.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.67 / $645.67 / $1,145.95	Facility		$645.67	$645.67	$1,145.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.13 / $102.04 / $207.09	Professional		$66.13	$102.04	$207.09
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 $79.22 / $113.18 / $284.63	Professional		$79.22	$113.18	$284.63