Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.31 / $201.67 / $983.63	Facility		$97.31	$201.67	$983.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.31 / $121.24 / $163.96	Professional		$97.31	$121.24	$163.96
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $223.56 / $825.83 / $3,160.14	Facility		$223.56	$825.83	$3,160.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.27 / $361.59 / $751.32	Facility		$160.27	$361.59	$751.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.44 / $190.99 / $406.99	Professional		$108.44	$190.99	$406.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $172.16 / $237.74	Professional		$114.77	$172.16	$237.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.77 / $8,702.00 / $13,785.00	Facility		$114.77	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $114.77 / $114.77 / $114.77	Professional		$114.77	$114.77	$114.77
United Facility/Professional Facility Modifier Low / Median / High Price $77.06 / $163.96 / $336.54	Facility		$77.06	$163.96	$336.54
United Facility/Professional Professional Modifier Low / Median / High Price $68.86 / $98.38 / $210.27	Professional		$68.86	$98.38	$210.27