Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.24 / $4,174.00 / $8,419.00	Facility		$158.24	$4,174.00	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $103.21 / $158.24 / $270.29	Professional		$103.21	$158.24	$270.29
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $6,851.85 / $6,851.85 / $6,851.85	Facility		$6,851.85	$6,851.85	$6,851.85
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $519.29 / $519.29 / $519.29	Professional		$519.29	$519.29	$519.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.57 / $239.22 / $536.90	Professional		$132.57	$239.22	$536.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $262.85 / $346.50 / $384.51	Professional		$262.85	$346.50	$384.51
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.51 / $739.55 / $1,603.69	Facility		$616.51	$739.55	$1,603.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $211.01 / $345.06	Professional		$122.06	$211.01	$345.06
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 $188.58 / $270.83 / $470.06	Professional		$188.58	$270.83	$470.06