Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.83 / $3,259.00 / $9,125.00	Facility		$68.83	$3,259.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.83 / $157.31 / $232.05	Professional		$68.83	$157.31	$232.05
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $39.08 / $39.08	Professional		$39.08	$39.08	$39.08
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 $71.20 / $173.46 / $432.00	Professional		$71.20	$173.46	$432.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $146.25 / $297.99	Professional		$30.00	$146.25	$297.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,593.94 / $2,866.57 / $5,466.84	Facility		$2,593.94	$2,866.57	$5,466.84
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.65 / $162.49 / $281.92	Professional		$66.65	$162.49	$281.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $111.19 / $167.09 / $392.27	Professional		$111.19	$167.09	$392.27