Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.96 / $2,220.11 / $6,872.00	Facility		$93.96	$2,220.11	$6,872.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $96.77 / $170.46	Professional		$61.61	$96.77	$170.46
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $98.86 / $161.55 / $303.38	Professional		$98.86	$161.55	$303.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.33 / $130.05 / $274.25	Professional		$68.33	$130.05	$274.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $121.59 / $165.90 / $202.98	Professional		$121.59	$165.90	$202.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.51 / $1,312.55 / $1,501.96	Facility		$616.51	$1,312.55	$1,501.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.51 / $99.18 / $171.25	Professional		$54.51	$99.18	$171.25
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 $96.01 / $140.30 / $234.34	Professional		$96.01	$140.30	$234.34