Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.62 / $2,843.00 / $8,419.00	Facility		$44.62	$2,843.00	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.62 / $99.97 / $170.32	Professional		$44.62	$99.97	$170.32
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $34.90 / $34.90 / $151.22	Professional		$34.90	$34.90	$151.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.00 / $3,438.00 / $3,438.00	Facility		$3,438.00	$3,438.00	$3,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $117.04 / $319.16	Professional		$46.27	$117.04	$319.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $89.88 / $216.91	Professional		$18.00	$89.88	$216.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,847.80 / $2,216.56 / $3,933.96	Facility		$1,847.80	$2,216.56	$3,933.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.18 / $113.21 / $203.27	Professional		$38.18	$113.21	$203.27
United Facility/Professional Facility Modifier Low / Median / High Price $1,848.00 / $3,823.00 / $10,536.00	Facility		$1,848.00	$3,823.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $74.06 / $127.33 / $277.31	Professional		$74.06	$127.33	$277.31