Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.38 / $1,701.94 / $3,851.54	Facility		$211.38	$1,701.94	$3,851.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.51 / $211.38 / $299.42	Professional		$158.51	$211.38	$299.42
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,394.60 / $4,394.60 / $4,394.60	Facility		$4,394.60	$4,394.60	$4,394.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $301.01 / $301.01 / $301.01	Professional		$301.01	$301.01	$301.01
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,079.54 / $1,079.54 / $1,296.51	Facility		$1,079.54	$1,079.54	$1,296.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.05 / $340.22 / $882.89	Professional		$204.05	$340.22	$882.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $280.69 / $360.88 / $471.25	Professional		$280.69	$360.88	$471.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,167.31 / $1,289.99 / $1,289.99	Facility		$1,167.31	$1,289.99	$1,289.99
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.60 / $193.70 / $341.50	Professional		$132.60	$193.70	$341.50
United Facility/Professional Professional Modifier Low / Median / High Price $144.01 / $243.98 / $419.89	Professional		$144.01	$243.98	$419.89