Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.00 / $816.46 / $2,860.92	Facility		$263.00	$816.46	$2,860.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.56 / $500.00 / $816.46	Professional		$238.56	$500.00	$816.46
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $395.06 / $1,292.27 / $9,223.51	Facility		$395.06	$1,292.27	$9,223.51
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.50 / $13.50 / $13.50	Professional		$13.50	$13.50	$13.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.08 / $1,226.96 / $2,550.54	Facility		$544.08	$1,226.96	$2,550.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.44 / $577.39 / $1,002.93	Professional		$312.44	$577.39	$1,002.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $389.62 / $584.42 / $807.07	Professional		$389.62	$584.42	$807.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.50 / $333.96 / $567.73	Professional		$215.50	$333.96	$567.73