Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.68 / $4,667.00 / $10,202.00	Facility		$185.68	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $136.87 / $208.08	Professional		$57.73	$136.87	$208.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $149.56 / $191.88 / $247.27	Professional		$149.56	$191.88	$247.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.23 / $422.48 / $484.27	Facility		$403.23	$422.48	$484.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.04 / $117.90 / $321.69	Professional		$46.04	$117.90	$321.69
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $145.34 / $197.02 / $215.47	Professional		$145.34	$197.02	$215.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.14 / $465.27 / $921.30	Facility		$437.14	$465.27	$921.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.38 / $189.48 / $287.30	Professional		$138.38	$189.48	$287.30
United Facility/Professional Professional Modifier Low / Median / High Price $74.45 / $156.19 / $318.87	Professional		$74.45	$156.19	$318.87