Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $245.47 / $870.96	Facility		$151.36	$245.47	$870.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $123.03 / $346.74	Professional		$102.33	$123.03	$346.74
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $954.99 / $954.99	Facility		$954.99	$954.99	$954.99
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $13.49 / $13.49	Professional		$13.49	$13.49	$13.49
Cigna Facility/Professional Facility Modifier Low / Median / High Price $165.96 / $316.23 / $660.69	Facility		$165.96	$316.23	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $158.49 / $316.23	Professional		$91.20	$158.49	$316.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $275.42	Professional		$102.33	$151.36	$275.42
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 $114.82 / $114.82 / $144.54	Professional		$114.82	$114.82	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $144.54 / $295.12	Facility		$67.61	$144.54	$295.12
United Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $102.33 / $194.98	Professional		$63.10	$102.33	$194.98