Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.85 / $4,174.00 / $9,860.00	Facility		$151.85	$4,174.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.94 / $157.85 / $212.29	Professional		$124.94	$157.85	$212.29
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $178.57 / $178.57 / $178.57	Professional		$178.57	$178.57	$178.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $193.03 / $427.54	Professional		$108.27	$193.03	$427.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $143.28 / $194.00 / $456.36	Professional		$143.28	$194.00	$456.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,962.99 / $2,354.71 / $5,106.17	Facility		$1,962.99	$2,354.71	$5,106.17
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.01 / $171.42 / $239.18	Professional		$108.01	$171.42	$239.18
United Facility/Professional Facility Modifier Low / Median / High Price $3,425.00 / $5,265.00 / $10,536.00	Facility		$3,425.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $133.38 / $187.67 / $392.50	Professional		$133.38	$187.67	$392.50