Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $324.69 / $4,895.00 / $8,419.00	Facility		$324.69	$4,895.00	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $265.16 / $373.50 / $1,025.66	Professional		$265.16	$373.50	$1,025.66
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $497.27 / $497.27 / $497.27	Professional		$497.27	$497.27	$497.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $203.35 / $411.35 / $910.96	Professional		$203.35	$411.35	$910.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,610.11 / $4,478.67 / $8,000.16	Facility		$3,610.11	$4,478.67	$8,000.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $297.58 / $439.46 / $702.68	Professional		$297.58	$439.46	$702.68
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $236.76 / $437.70 / $843.58	Professional		$236.76	$437.70	$843.58