Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $123.09 / $4,294.00 / $9,950.00	Facility		$123.09	$4,294.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.01 / $121.51 / $176.46	Professional		$89.01	$121.51	$176.46
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $131.04 / $131.04 / $131.04	Professional		$131.04	$131.04	$131.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.97 / $143.10 / $324.61	Professional		$72.97	$143.10	$324.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.50 / $141.62 / $333.15	Professional		$104.50	$141.62	$333.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,474.74 / $5,081.78 / $6,304.39	Facility		$4,474.74	$5,081.78	$6,304.39
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.58 / $125.52 / $200.65	Professional		$73.58	$125.52	$200.65
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 $99.07 / $138.34 / $231.93	Professional		$99.07	$138.34	$231.93