Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.56 / $349.74 / $2,445.00	Facility		$62.56	$349.74	$2,445.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.79 / $71.95 / $110.04	Professional		$43.79	$71.95	$110.04
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $470.05 / $522.00 / $525.00	Facility		$470.05	$522.00	$525.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.62 / $92.15 / $197.87	Professional		$53.62	$92.15	$197.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $78.17 / $120.71 / $151.22	Professional		$78.17	$120.71	$151.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $383.62 / $680.84 / $731.62	Facility		$383.62	$680.84	$731.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.34 / $86.09 / $163.66	Professional		$47.34	$86.09	$163.66
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 $66.01 / $104.29 / $244.05	Professional		$66.01	$104.29	$244.05