Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.62 / $4,667.00 / $10,202.00	Facility		$181.62	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.20 / $150.37 / $208.25	Professional		$65.20	$150.37	$208.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $196.27 / $196.27 / $217.10	Professional		$196.27	$196.27	$217.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.23 / $422.11 / $484.27	Facility		$403.23	$422.11	$484.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.42 / $122.89 / $350.89	Professional		$52.42	$122.89	$350.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $155.19 / $210.38 / $230.20	Professional		$155.19	$210.38	$230.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.71 / $437.14 / $857.38	Facility		$402.71	$437.14	$857.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.46 / $201.35 / $303.60	Professional		$151.46	$201.35	$303.60
United Facility/Professional Professional Modifier Low / Median / High Price $99.54 / $174.92 / $349.02	Professional		$99.54	$174.92	$349.02