Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.36 / $1,137.00 / $2,559.00	Facility		$35.36	$1,137.00	$2,559.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $36.90 / $65.45	Professional		$25.62	$36.90	$65.45
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $128.38 / $128.38 / $128.38	Facility		$128.38	$128.38	$128.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.68 / $52.41 / $113.86	Professional		$30.68	$52.41	$113.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $50.56 / $67.86 / $68.40	Professional		$50.56	$67.86	$68.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $301.83 / $356.30 / $679.56	Facility		$301.83	$356.30	$679.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.01 / $43.61 / $85.63	Professional		$28.01	$43.61	$85.63
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 $34.20 / $55.73 / $127.94	Professional		$34.20	$55.73	$127.94