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 $67.61 / $173.78 / $501.19	Professional		$67.61	$173.78	$501.19
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $194.98 / $218.78	Professional		$194.98	$194.98	$218.78
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 / $147.91 / $354.81	Professional		$60.26	$147.91	$354.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $208.93 / $229.09	Professional		$154.88	$208.93	$229.09
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 $151.36 / $208.93 / $346.74	Professional		$151.36	$208.93	$346.74
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 $39.81 / $109.65 / $257.04	Professional		$39.81	$109.65	$257.04