Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.71 / $2,572.00 / $8,084.00	Facility		$161.71	$2,572.00	$8,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $161.71 / $442.51 / $729.98	Professional		$161.71	$442.51	$729.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $119.59 / $119.59 / $119.59	Professional		$119.59	$119.59	$119.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.43 / $470.87 / $1,221.66	Professional		$180.43	$470.87	$1,221.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $576.72 / $781.78 / $1,031.82	Professional		$576.72	$781.78	$1,031.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,380.51 / $6,667.30 / $13,540.90	Facility		$5,380.51	$6,667.30	$13,540.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.42 / $496.78 / $916.02	Professional		$169.42	$496.78	$916.02
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $7,188.00 / $10,536.00	Facility		$3,885.00	$7,188.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $348.02 / $555.05 / $1,219.46	Professional		$348.02	$555.05	$1,219.46