Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.89 / $2,572.00 / $8,419.00	Facility		$64.89	$2,572.00	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.57 / $94.25 / $137.59	Professional		$54.57	$94.25	$137.59
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $642.40 / $642.40 / $642.40	Facility		$642.40	$642.40	$642.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.88 / $121.11 / $267.11	Professional		$62.88	$121.11	$267.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $96.34 / $147.78 / $181.49	Professional		$96.34	$147.78	$181.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $541.90 / $591.29 / $1,127.66	Facility		$541.90	$591.29	$1,127.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.45 / $94.11 / $161.72	Professional		$41.45	$94.11	$161.72
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 $71.97 / $109.20 / $222.37	Professional		$71.97	$109.20	$222.37