Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $758.58 / $2,570.40	Facility		$446.68	$758.58	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $371.54 / $691.83	Professional		$302.00	$371.54	$691.83
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,071.52 / $1,548.82	Facility		$524.81	$1,071.52	$1,548.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.76 / $7.76 / $363.08	Professional		$7.76	$7.76	$363.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $912.01 / $1,905.46	Facility		$478.63	$912.01	$1,905.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $1,047.13	Professional		$302.00	$524.81	$1,047.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $467.74 / $794.33	Professional		$295.12	$467.74	$794.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $10,471.29 / $25,118.86	Facility		$134.90	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $331.13 / $416.87	Professional		$331.13	$331.13	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $416.87 / $851.14	Facility		$194.98	$416.87	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $575.44	Professional		$173.78	$251.19	$575.44