Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.48 / $2,286.00 / $8,084.00	Facility		$74.48	$2,286.00	$8,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.92 / $83.82 / $130.38	Professional		$54.92	$83.82	$130.38
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $86.61 / $86.61 / $86.61	Professional		$86.61	$86.61	$86.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.23 / $113.07 / $255.00	Professional		$61.23	$113.07	$255.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $108.64 / $144.91 / $177.52	Professional		$108.64	$144.91	$177.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,940.12 / $2,038.87 / $4,037.21	Facility		$1,940.12	$2,038.87	$4,037.21
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $88.69 / $149.88	Professional		$49.01	$88.69	$149.88
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.83 / $124.91 / $205.72	Professional		$85.83	$124.91	$205.72