Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.19 / $390.96 / $1,863.58	Facility		$80.19	$390.96	$1,863.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.92 / $98.56 / $260.64	Professional		$64.92	$98.56	$260.64
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $157.94 / $652.26 / $7,869.41	Facility		$157.94	$652.26	$7,869.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $227.66 / $718.13 / $1,492.93	Facility		$227.66	$718.13	$1,492.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.34 / $98.81 / $374.18	Professional		$75.34	$98.81	$374.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $130.29 / $162.90 / $195.48	Professional		$130.29	$162.90	$195.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $228.06 / $8,702.00 / $13,785.00	Facility		$228.06	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.69 / $228.06 / $228.06	Professional		$105.69	$228.06	$228.06
United Facility/Professional Facility Modifier Low / Median / High Price $179.19 / $179.19 / $326.00	Facility		$179.19	$179.19	$326.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.03 / $162.90 / $325.80	Professional		$114.03	$162.90	$325.80