Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.43 / $1,600.00 / $3,667.00	Facility		$102.43	$1,600.00	$3,667.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.48 / $425.00 / $525.00	Professional		$88.48	$425.00	$525.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,174.70 / $1,174.70 / $1,174.70	Facility		$1,174.70	$1,174.70	$1,174.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $456.45 / $456.45 / $456.45	Professional		$456.45	$456.45	$456.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.69 / $210.04 / $506.14	Facility		$138.69	$210.04	$506.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $130.33 / $400.00	Professional		$63.70	$130.33	$400.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.03 / $196.92 / $208.57	Professional		$113.03	$196.92	$208.57
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $214.08 / $214.08 / $408.26	Facility		$214.08	$214.08	$408.26
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $78.48 / $136.13 / $776.16	Professional		$78.48	$136.13	$776.16