Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $293.32 / $6,321.00 / $11,298.00	Facility		$293.32	$6,321.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.63 / $293.32 / $417.20	Professional		$238.63	$293.32	$417.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $337.26 / $337.26 / $337.26	Professional		$337.26	$337.26	$337.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.17 / $355.51 / $809.13	Professional		$199.17	$355.51	$809.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $270.70 / $362.41 / $852.52	Professional		$270.70	$362.41	$852.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,222.35 / $1,333.77 / $2,367.16	Facility		$1,222.35	$1,333.77	$2,367.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $205.35 / $326.13 / $486.00	Professional		$205.35	$326.13	$486.00
United Facility/Professional Facility Modifier Low / Median / High Price $2,284.00 / $3,961.00 / $10,536.00	Facility		$2,284.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $249.58 / $316.08 / $609.97	Professional		$249.58	$316.08	$609.97