Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $688.75 / $3,328.00 / $9,650.00	Facility		$688.75	$3,328.00	$9,650.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.24 / $255.63 / $688.75	Professional		$164.24	$255.63	$688.75
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,053.50 / $4,277.21 / $6,790.00	Facility		$2,053.50	$4,277.21	$6,790.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2,328.00 / $2,328.00 / $2,425.60	Professional		$2,328.00	$2,328.00	$2,425.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $171.86 / $318.70 / $983.93	Professional		$171.86	$318.70	$983.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $199.68 / $264.02 / $392.22	Professional		$199.68	$264.02	$392.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.11 / $213.88 / $907.51	Professional		$155.11	$213.88	$907.51
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 $151.50 / $284.79 / $756.48	Professional		$151.50	$284.79	$756.48