Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.07 / $4,667.00 / $10,202.00	Facility		$94.07	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.12 / $77.09 / $127.96	Professional		$67.12	$77.09	$127.96
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $66.52 / $66.52 / $66.52	Professional		$66.52	$66.52	$66.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.45 / $117.67 / $218.51	Professional		$72.45	$117.67	$218.51
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $86.52 / $114.77 / $138.16	Professional		$86.52	$114.77	$138.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.52 / $82.31 / $157.49	Professional		$62.52	$82.31	$157.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,846.00 / $7,273.00 / $10,536.00	Facility		$1,846.00	$7,273.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $69.22 / $95.70 / $173.79	Professional		$69.22	$95.70	$173.79