Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.60 / $4,118.00 / $9,784.00	Facility		$173.60	$4,118.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.55 / $313.95 / $432.11	Professional		$141.55	$313.95	$432.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $361.25 / $361.25 / $361.25	Professional		$361.25	$361.25	$361.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.04 / $399.47 / $914.74	Professional		$159.04	$399.47	$914.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $245.79 / $472.27 / $553.17	Professional		$245.79	$472.27	$553.17
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.59 / $307.42 / $558.27	Professional		$109.59	$307.42	$558.27
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 $274.29 / $365.93 / $900.98	Professional		$274.29	$365.93	$900.98