Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.38 / $548.70 / $1,183.42	Facility		$139.38	$548.70	$1,183.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $139.38 / $210.39 / $249.84	Professional		$139.38	$210.39	$249.84
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $529.00 / $967.76 / $1,316.29	Facility		$529.00	$967.76	$1,316.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $257.07 / $579.55 / $1,205.10	Facility		$257.07	$579.55	$1,205.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.10 / $272.70 / $563.89	Professional		$153.10	$272.70	$563.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $184.09 / $276.14 / $381.34	Professional		$184.09	$276.14	$381.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $8,702.00	Facility		$8,702.00	$8,702.00	$8,702.00
United Facility/Professional Facility Modifier Low / Median / High Price $144.63 / $144.63 / $263.00	Facility		$144.63	$144.63	$263.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.20 / $157.79 / $284.02	Professional		$105.20	$157.79	$284.02