Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.09 / $4,294.00 / $9,950.00	Facility		$117.09	$4,294.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.40 / $125.58 / $186.93	Professional		$100.40	$125.58	$186.93
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $148.10 / $148.10 / $148.10	Professional		$148.10	$148.10	$148.10
AmeriHealth Facility/Professional Professional Modifier 50 Low / Median / High Price $222.15 / $222.15 / $222.15	Professional	50	$222.15	$222.15	$222.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $149.35 / $373.64	Professional		$95.52	$149.35	$373.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $118.00 / $158.26 / $372.28	Professional		$118.00	$158.26	$372.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $699.94 / $726.77 / $1,289.86	Facility		$699.94	$726.77	$1,289.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.98 / $140.19 / $197.93	Professional		$95.98	$140.19	$197.93
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 $98.34 / $136.49 / $246.83	Professional		$98.34	$136.49	$246.83