Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $383.00 / $723.00 / $3,174.55	Facility		$383.00	$723.00	$3,174.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $425.23 / $526.57 / $681.98	Professional		$425.23	$526.57	$681.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $569.29 / $569.29 / $569.29	Professional		$569.29	$569.29	$569.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.97 / $1,672.99 / $3,478.23	Facility		$741.97	$1,672.99	$3,478.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $402.30 / $757.82 / $1,634.72	Professional		$402.30	$757.82	$1,634.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $349.16 / $455.43 / $1,011.05	Professional		$349.16	$455.43	$1,011.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,243.00 / $13,785.00 / $13,785.00	Facility		$3,243.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.55 / $537.55 / $641.86	Professional		$537.55	$537.55	$641.86
United Facility/Professional Facility Modifier Low / Median / High Price $356.75 / $759.05 / $1,558.00	Facility		$356.75	$759.05	$1,558.00
United Facility/Professional Professional Modifier Low / Median / High Price $293.88 / $455.43 / $796.75	Professional		$293.88	$455.43	$796.75