Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.34 / $4,540.00 / $10,871.00	Facility		$100.34	$4,540.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $79.31 / $103.99 / $142.30	Professional		$79.31	$103.99	$142.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $107.14 / $107.14 / $107.14	Professional		$107.14	$107.14	$107.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.45 / $127.98 / $300.45	Professional		$64.45	$127.98	$300.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $85.55 / $112.96 / $265.72	Professional		$85.55	$112.96	$265.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $877.87 / $877.87 / $970.14	Facility		$877.87	$877.87	$970.14
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.23 / $99.69 / $174.89	Professional		$64.23	$99.69	$174.89
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 $70.75 / $105.85 / $224.52	Professional		$70.75	$105.85	$224.52