Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.91 / $1,271.56 / $5,641.00	Facility		$250.91	$1,271.56	$5,641.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.15 / $160.30 / $278.04	Professional		$111.15	$160.30	$278.04
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $547.50 / $547.50 / $547.50	Facility		$547.50	$547.50	$547.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $95.18 / $95.18 / $154.71	Professional		$95.18	$95.18	$154.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $860.61 / $1,310.85 / $1,574.30	Facility		$860.61	$1,310.85	$1,574.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.76 / $220.34 / $539.54	Professional		$122.76	$220.34	$539.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $195.65 / $227.31 / $281.42	Professional		$195.65	$227.31	$281.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,439.61 / $1,590.92 / $3,034.07	Facility		$1,439.61	$1,590.92	$3,034.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $130.02 / $168.71 / $411.85	Professional		$130.02	$168.71	$411.85
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $137.74 / $187.86 / $434.85	Professional		$137.74	$187.86	$434.85