Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.99 / $1,381.00 / $9,860.00	Facility		$54.99	$1,381.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $65.97 / $92.29	Professional		$50.19	$65.97	$92.29
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $74.90 / $93.62	Professional		$74.28	$74.90	$93.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.14 / $77.27 / $185.59	Professional		$41.14	$77.27	$185.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $79.44 / $186.88	Professional		$59.50	$79.44	$186.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $252.90 / $261.25 / $313.39	Facility		$252.90	$261.25	$313.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.81 / $71.65 / $101.70	Professional		$41.81	$71.65	$101.70
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 $55.17 / $71.56 / $148.24	Professional		$55.17	$71.56	$148.24