Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.74 / $1,715.00 / $6,986.00	Facility		$31.74	$1,715.00	$6,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.31 / $45.55 / $72.89	Professional		$25.31	$45.55	$72.89
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $489.60 / $489.60 / $512.00	Facility		$489.60	$489.60	$512.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $38.11 / $38.11	Professional		$38.11	$38.11	$38.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.32 / $67.81 / $155.34	Professional		$27.32	$67.81	$155.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $45.82 / $66.29 / $81.50	Professional		$45.82	$66.29	$81.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.90 / $287.22 / $679.56	Facility		$252.90	$287.22	$679.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.69 / $43.91 / $77.48	Professional		$20.69	$43.91	$77.48
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 $33.00 / $51.53 / $109.13	Professional		$33.00	$51.53	$109.13