Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.21 / $388.50 / $1,664.07	Facility		$88.21	$388.50	$1,664.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.41 / $108.41 / $259.00	Professional		$71.41	$108.41	$259.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $173.72 / $717.42 / $5,473.10	Facility		$173.72	$717.42	$5,473.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $226.23 / $713.80 / $1,483.54	Facility		$226.23	$713.80	$1,483.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.88 / $108.77 / $372.11	Professional		$82.88	$108.77	$372.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $129.50 / $161.88 / $194.25	Professional		$129.50	$161.88	$194.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.63 / $13,785.00 / $13,785.00	Facility		$226.63	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.26 / $226.63 / $226.63	Professional		$116.26	$226.63	$226.63
United Facility/Professional Facility Modifier Low / Median / High Price $291.38 / $291.38 / $388.50	Facility		$291.38	$291.38	$388.50
United Facility/Professional Professional Modifier Low / Median / High Price $113.31 / $179.37 / $210.44	Professional		$113.31	$179.37	$210.44