Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $505.32 / $4,296.39 / $9,784.00	Facility		$505.32	$4,296.39	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $490.04 / $599.88 / $1,120.33	Professional		$490.04	$599.88	$1,120.33
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $778.47 / $778.47 / $778.47	Professional		$778.47	$778.47	$778.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.54 / $729.82 / $1,415.65	Professional		$353.54	$729.82	$1,415.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $737.05 / $999.11 / $1,127.52	Professional		$737.05	$999.11	$1,127.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,588.91 / $4,283.18 / $4,447.22	Facility		$3,588.91	$4,283.18	$4,447.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $529.53 / $758.75 / $1,114.55	Professional		$529.53	$758.75	$1,114.55
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 $397.58 / $657.40 / $1,385.89	Professional		$397.58	$657.40	$1,385.89