Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,495.41 / $10,964.78	Facility		$2,570.40	$5,495.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $128.82 / $295.12	Professional		$89.13	$128.82	$295.12
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $131.83	Professional		$131.83	$131.83	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $323.59	Professional		$77.62	$138.04	$323.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $147.91 / $194.98	Professional		$104.71	$147.91	$194.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $7,413.10 / $11,481.54	Facility		$4,570.88	$7,413.10	$11,481.54
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $134.90 / $257.04	Professional		$74.13	$134.90	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,019.95 / $7,943.28	Facility		$1,412.54	$3,019.95	$7,943.28
United Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $120.23 / $208.93	Professional		$67.61	$120.23	$208.93