Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.84 / $1,091.00 / $6,768.17	Facility		$67.84	$1,091.00	$6,768.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.16 / $96.06 / $152.21	Professional		$46.16	$96.06	$152.21
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,104.85 / $4,693.85 / $6,909.12	Facility		$2,104.85	$4,693.85	$6,909.12
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $192.49 / $315.77	Professional		$82.00	$192.49	$315.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.82 / $115.87 / $228.89	Professional		$51.82	$115.87	$228.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $79.37 / $138.91 / $252.40	Professional		$79.37	$138.91	$252.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,622.76 / $3,295.70 / $3,295.70	Facility		$1,622.76	$3,295.70	$3,295.70
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.57 / $88.11 / $185.42	Professional		$39.57	$88.11	$185.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,315.00 / $10,536.00	Facility		$1,529.00	$3,315.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $71.22 / $101.72 / $203.39	Professional		$71.22	$101.72	$203.39