Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.98 / $148.02 / $3,248.55	Facility		$62.98	$148.02	$3,248.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.03 / $82.40 / $141.56	Professional		$57.03	$82.40	$141.56
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,412.22 / $1,412.22 / $1,412.22	Facility		$1,412.22	$1,412.22	$1,412.22
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $132.28 / $280.00 / $380.00	Professional		$132.28	$280.00	$380.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.26 / $111.61 / $239.64	Professional		$64.26	$111.61	$239.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.14 / $128.37 / $146.22	Professional		$78.14	$128.37	$146.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $538.26 / $734.11 / $1,400.13	Facility		$538.26	$734.11	$1,400.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.13 / $90.80 / $175.39	Professional		$59.13	$90.80	$175.39
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $3,339.00 / $9,152.00	Facility		$1,200.00	$3,339.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.80 / $112.38 / $256.55	Professional		$72.80	$112.38	$256.55