Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $5,888.44 / $10,964.78	Facility		$2,754.23	$5,888.44	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $158.49 / $426.58	Professional		$61.66	$158.49	$426.58
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $138.04 / $213.80	Professional		$134.90	$138.04	$213.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $426.58 / $446.68 / $537.03	Facility		$426.58	$446.68	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $134.90 / $331.13	Professional		$60.26	$134.90	$331.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $194.98 / $213.80	Professional		$144.54	$194.98	$213.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $407.38 / $645.65 / $1,000.00	Facility		$407.38	$645.65	$1,000.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $190.55 / $331.13	Professional		$138.04	$190.55	$331.13
United Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $691.83 / $831.76	Facility		$389.05	$691.83	$831.76
United Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $100.00 / $239.88	Professional		$35.48	$100.00	$239.88