Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.86 / $4,049.00 / $10,692.00	Facility		$66.86	$4,049.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.86 / $118.05 / $219.57	Professional		$66.86	$118.05	$219.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $138.43 / $316.80	Professional		$105.77	$138.43	$316.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.79 / $114.58 / $247.36	Professional		$63.79	$114.58	$247.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.76 / $170.47 / $194.16	Professional		$125.76	$170.47	$194.16
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $470.66 / $641.91 / $1,224.29	Facility		$470.66	$641.91	$1,224.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $123.35 / $208.62	Professional		$64.50	$123.35	$208.62
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 $82.50 / $123.35 / $285.72	Professional		$82.50	$123.35	$285.72