Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $346.74 / $1,548.82	Facility		$331.13	$346.74	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $346.74	Professional		$154.88	$208.93	$346.74
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $489.78	Professional		$288.40	$288.40	$489.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $575.44 / $1,202.26	Facility		$257.04	$575.44	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $288.40 / $398.11	Professional		$28.84	$288.40	$398.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $181.97 / $380.19	Professional		$123.03	$181.97	$380.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,118.86	Facility		$134.90	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $204.17 / $263.03	Professional		$38.90	$204.17	$263.03
United Facility/Professional Facility Modifier Low / Median / High Price $123.03 / $263.03 / $537.03	Facility		$123.03	$263.03	$537.03
United Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $154.88 / $269.15	Professional		$107.15	$154.88	$269.15