Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.40 / $1,381.00 / $6,872.00	Facility		$126.40	$1,381.00	$6,872.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.99 / $126.17 / $210.66	Professional		$90.99	$126.17	$210.66
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,044.65 / $1,044.65 / $1,044.65	Facility		$1,044.65	$1,044.65	$1,044.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.74 / $194.14 / $415.84	Professional		$105.74	$194.14	$415.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $205.17 / $280.35 / $343.54	Professional		$205.17	$280.35	$343.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.72 / $489.09 / $1,060.57	Facility		$407.72	$489.09	$1,060.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $154.91 / $247.10	Professional		$85.14	$154.91	$247.10
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 $149.31 / $219.48 / $366.05	Professional		$149.31	$219.48	$366.05