Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $274.91 / $3,987.00 / $9,784.00	Facility		$274.91	$3,987.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.84 / $1,099.05 / $1,820.87	Professional		$234.84	$1,099.05	$1,820.87
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $318.48 / $318.48 / $318.48	Professional		$318.48	$318.48	$318.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $247.38 / $798.70 / $3,814.13	Professional		$247.38	$798.70	$3,814.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $440.97 / $1,828.55 / $2,111.31	Professional		$440.97	$1,828.55	$2,111.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.55 / $1,220.81 / $2,302.19	Professional		$195.55	$1,220.81	$2,302.19
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 $1,141.06 / $1,602.55 / $4,118.66	Professional		$1,141.06	$1,602.55	$4,118.66