Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.00 / $362.26 / $1,684.65	Facility		$85.00	$362.26	$1,684.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $218.65 / $279.79	Professional		$85.00	$218.65	$279.79
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $645.29 / $645.29 / $645.29	Facility		$645.29	$645.29	$645.29
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 $287.89 / $648.84 / $1,349.59	Facility		$287.89	$648.84	$1,349.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.76 / $343.23 / $731.14	Professional		$194.76	$343.23	$731.14
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $206.16 / $309.25 / $427.05	Professional		$206.16	$309.25	$427.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $206.16 / $1,165.00 / $13,785.00	Facility		$206.16	$1,165.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $206.16 / $206.16 / $206.16	Professional		$206.16	$206.16	$206.16
United Facility/Professional Professional Modifier Low / Median / High Price $123.70 / $176.71 / $401.79	Professional		$123.70	$176.71	$401.79