Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.63 / $224.10 / $684.75	Facility		$142.63	$224.10	$684.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.62 / $142.63 / $142.63	Professional		$142.62	$142.63	$142.63
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $139.30 / $303.45 / $498.60	Facility		$139.30	$303.45	$498.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.05 / $11.05 / $11.05	Professional		$11.05	$11.05	$11.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $139.41 / $210.90 / $425.24	Facility		$139.41	$210.90	$425.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.57 / $153.22 / $318.76	Professional		$94.57	$153.22	$318.76
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $427.89 / $427.89 / $427.89	Facility		$427.89	$427.89	$427.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.84 / $149.76 / $206.81	Professional		$99.84	$149.76	$206.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $12,381.00	Facility		$8,702.00	$8,702.00	$12,381.00
United Facility/Professional Professional Modifier Low / Median / High Price $57.05 / $85.58 / $145.47	Professional		$57.05	$85.58	$145.47