Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.78 / $94.08 / $125.49	Facility		$69.78	$94.08	$125.49
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.15 / $82.81 / $147.00	Professional		$58.15	$82.81	$147.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $170.09 / $170.09 / $170.09	Professional		$170.09	$170.09	$170.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $123.00 / $254.20	Professional		$72.95	$123.00	$254.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.74 / $143.63 / $161.10	Professional		$89.74	$143.63	$161.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $538.26 / $584.27 / $1,145.95	Facility		$538.26	$584.27	$1,145.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.06 / $104.08 / $199.04	Professional		$67.06	$104.08	$199.04
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 $80.20 / $118.91 / $287.36	Professional		$80.20	$118.91	$287.36