Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $162.91 / $216.44 / $436.76	Facility		$162.91	$216.44	$436.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.25 / $431.49 / $685.15	Professional		$212.25	$431.49	$685.15
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $525.90 / $1,157.60 / $11,733.00	Facility		$525.90	$1,157.60	$11,733.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $142.71 / $167.57 / $192.35	Professional		$142.71	$167.57	$192.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $502.30 / $636.07 / $1,161.23	Professional		$502.30	$636.07	$1,161.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $235.85 / $362.29 / $445.59	Professional		$235.85	$362.29	$445.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,151.83 / $4,980.33 / $8,839.21	Facility		$4,151.83	$4,980.33	$8,839.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $245.52 / $398.54	Professional		$105.77	$245.52	$398.54
United Facility/Professional Professional Modifier Low / Median / High Price $130.69 / $267.14 / $551.60	Professional		$130.69	$267.14	$551.60