Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $4,570.88 / $10,471.29	Facility		$478.63	$4,570.88	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $97.72 / $199.53	Professional		$51.29	$97.72	$199.53
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $645.65 / $645.65	Facility		$645.65	$645.65	$645.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $117.49 / $257.04	Professional		$58.88	$117.49	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $123.03 / $190.55	Professional		$89.13	$123.03	$190.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $776.25 / $1,230.27	Facility		$489.78	$776.25	$1,230.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $102.33 / $213.80	Professional		$41.69	$102.33	$213.80
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $87.10 / $181.97	Professional		$41.69	$87.10	$181.97