Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.26 / $1,635.28 / $3,467.10	Facility		$56.26	$1,635.28	$3,467.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $60.38	Professional		$47.55	$47.55	$60.38
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $43.34 / $129.25 / $27,879.54	Facility		$43.34	$129.25	$27,879.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $38.34 / $45.11 / $49.62	Facility		$38.34	$45.11	$49.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $47.55 / $47.55	Professional		$47.55	$47.55	$47.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $44.86 / $46.07 / $77.61	Professional		$44.86	$46.07	$77.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.83 / $174.22 / $13,785.00	Facility		$81.83	$174.22	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.19 / $33.22 / $33.22	Professional		$27.19	$33.22	$33.22
United Facility/Professional Facility Modifier Low / Median / High Price $59.34 / $59.34 / $72.00	Facility		$59.34	$59.34	$72.00
United Facility/Professional Professional Modifier Low / Median / High Price $47.55 / $49.93 / $57.06	Professional		$47.55	$49.93	$57.06