Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $1,348.96 / $1,737.80	Facility		$331.13	$1,348.96	$1,737.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $234.42 / $691.83	Professional		$181.97	$234.42	$691.83
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $1,445.44 / $1,445.44	Facility		$1,445.44	$1,445.44	$1,445.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.47 / $549.54 / $1,148.15	Facility		$245.47	$549.54	$1,148.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $288.40 / $380.19	Professional		$107.15	$288.40	$380.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $125.89 / $275.42	Professional		$100.00	$125.89	$275.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $10,471.29 / $25,118.86	Facility		$151.36	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $218.78 / $269.15	Professional		$151.36	$218.78	$269.15
United Facility/Professional Facility Modifier Low / Median / High Price $117.49 / $251.19 / $512.86	Facility		$117.49	$251.19	$512.86
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $151.36 / $251.19	Professional		$100.00	$151.36	$251.19