Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.29 / $4,484.00 / $9,383.00	Facility		$197.29	$4,484.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.18 / $246.82 / $360.87	Professional		$148.18	$246.82	$360.87
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $270.24 / $383.20 / $987.70	Professional		$270.24	$383.20	$987.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.90 / $268.04 / $614.66	Professional		$130.90	$268.04	$614.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $254.85 / $327.67 / $770.81	Professional		$254.85	$327.67	$770.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,900.26 / $2,267.87 / $4,782.30	Facility		$1,900.26	$2,267.87	$4,782.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $253.88 / $414.46	Professional		$129.47	$253.88	$414.46
United Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,788.00 / $7,579.00	Facility		$2,150.00	$4,788.00	$7,579.00
United Facility/Professional Professional Modifier Low / Median / High Price $231.25 / $332.89 / $555.72	Professional		$231.25	$332.89	$555.72