Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.73 / $265.00 / $3,813.88	Facility		$66.73	$265.00	$3,813.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.17 / $76.52 / $132.78	Professional		$55.17	$76.52	$132.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $87.87 / $256.00 / $473.60	Professional		$87.87	$256.00	$473.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.95 / $106.60 / $226.87	Professional		$61.95	$106.60	$226.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $71.34 / $130.72 / $132.52	Professional		$71.34	$130.72	$132.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $521.05 / $584.27 / $1,400.13	Facility		$521.05	$584.27	$1,400.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.62 / $88.37 / $164.91	Professional		$56.62	$88.37	$164.91
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 $67.41 / $97.50 / $235.90	Professional		$67.41	$97.50	$235.90