Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $164.87 / $4,739.72 / $9,383.00	Facility		$164.87	$4,739.72	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.15 / $480.74 / $776.25	Professional		$141.15	$480.74	$776.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $360.78 / $360.78 / $360.78	Professional		$360.78	$360.78	$360.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $161.58 / $161.58 / $164.46	Facility		$161.58	$161.58	$164.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $145.97 / $364.33 / $1,144.80	Professional		$145.97	$364.33	$1,144.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $660.84 / $908.08 / $1,135.64	Professional		$660.84	$908.08	$1,135.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.73 / $525.54 / $932.92	Professional		$111.73	$525.54	$932.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,352.00 / $10,536.00	Facility		$1,516.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $438.10 / $727.56 / $1,429.06	Professional		$438.10	$727.56	$1,429.06