Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $308.45 / $975.53 / $1,734.90	Facility		$308.45	$975.53	$1,734.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.41 / $220.00 / $693.96	Professional		$182.41	$220.00	$693.96
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,446.30 / $1,446.30 / $1,446.30	Facility		$1,446.30	$1,446.30	$1,446.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $245.14 / $537.16 / $1,149.16	Facility		$245.14	$537.16	$1,149.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $188.92 / $360.34	Professional		$106.17	$188.92	$360.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $137.93 / $200.62	Professional		$100.31	$137.93	$200.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.55 / $13,785.00 / $13,785.00	Facility		$175.55	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.55 / $175.55 / $225.82	Professional		$175.55	$175.55	$225.82
United Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $150.47 / $270.83	Professional		$100.31	$150.47	$270.83