Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.56 / $742.30 / $5,821.00	Facility		$188.56	$742.30	$5,821.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.56 / $221.67 / $302.41	Professional		$188.56	$221.67	$302.41
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $355.59 / $1,313.54 / $9,362.89	Facility		$355.59	$1,313.54	$9,362.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $254.92 / $574.50 / $1,195.03	Facility		$254.92	$574.50	$1,195.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.43 / $303.81 / $647.00	Professional		$172.43	$303.81	$647.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $182.55 / $273.83 / $378.15	Professional		$182.55	$273.83	$378.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $182.55 / $13,785.00 / $13,785.00	Facility		$182.55	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.55 / $182.55 / $182.55	Professional		$182.55	$182.55	$182.55
United Facility/Professional Professional Modifier Low / Median / High Price $109.53 / $156.47 / $355.78	Professional		$109.53	$156.47	$355.78