Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.14 / $745.30 / $3,410.00	Facility		$305.14	$745.30	$3,410.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $200.66 / $232.03 / $361.74	Professional		$200.66	$232.03	$361.74
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $596.48 / $1,838.31 / $15,102.43	Facility		$596.48	$1,838.31	$15,102.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $490.82 / $1,066.67 / $2,223.37	Facility		$490.82	$1,066.67	$2,223.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $207.95 / $325.69 / $625.05	Professional		$207.95	$325.69	$625.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $284.26 / $284.26 / $284.26	Professional		$284.26	$284.26	$284.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $515.96 / $615.77 / $639.35	Facility		$515.96	$615.77	$639.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $220.80 / $350.25 / $470.78	Professional		$220.80	$350.25	$470.78
United Facility/Professional Professional Modifier Low / Median / High Price $135.24 / $266.77 / $531.32	Professional		$135.24	$266.77	$531.32