Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.54 / $93.15 / $230.00	Facility		$67.54	$93.15	$230.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $87.15 / $147.86	Professional		$61.09	$87.15	$147.86
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $233.75 / $233.75 / $233.75	Professional		$233.75	$233.75	$233.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.44 / $115.58 / $249.88	Professional		$70.44	$115.58	$249.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.33 / $135.75 / $160.01	Professional		$86.33	$135.75	$160.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.80 / $831.86 / $3,111.00	Facility		$319.80	$831.86	$3,111.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.38 / $100.33 / $186.43	Professional		$64.38	$100.33	$186.43
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 $79.55 / $114.70 / $282.62	Professional		$79.55	$114.70	$282.62