Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.07 / $320.42 / $1,338.97	Facility		$138.07	$320.42	$1,338.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.07 / $195.38 / $221.43	Professional		$138.07	$195.38	$221.43
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $288.81 / $288.81 / $488.03	Professional		$288.81	$288.81	$488.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $182.03 / $574.50 / $1,193.70	Facility		$182.03	$574.50	$1,193.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.54 / $246.04 / $378.00	Professional		$28.54	$246.04	$378.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $119.83 / $156.30 / $346.99	Professional		$119.83	$156.30	$346.99
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 $38.65 / $38.65 / $208.40	Professional		$38.65	$38.65	$208.40
United Facility/Professional Facility Modifier Low / Median / High Price $122.44 / $260.50 / $534.69	Facility		$122.44	$260.50	$534.69
United Facility/Professional Professional Modifier Low / Median / High Price $108.10 / $156.30 / $267.01	Professional		$108.10	$156.30	$267.01