Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.18 / $3,057.00 / $9,383.00	Facility		$106.18	$3,057.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.18 / $163.03 / $226.67	Professional		$106.18	$163.03	$226.67
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,184.90 / $1,184.90 / $1,184.90	Facility		$1,184.90	$1,184.90	$1,184.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.66 / $243.82 / $556.65	Professional		$120.66	$243.82	$556.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.00 / $148.00 / $308.35	Professional		$12.00	$148.00	$308.35
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,647.48 / $3,035.95 / $3,709.35	Facility		$1,647.48	$3,035.95	$3,709.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.18 / $186.57 / $320.10	Professional		$98.18	$186.57	$320.10
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,885.00 / $9,152.00	Facility		$2,354.00	$3,885.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.47 / $203.41 / $378.45	Professional		$102.47	$203.41	$378.45