Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $614.29 / $5,766.00 / $9,936.00	Facility		$614.29	$5,766.00	$9,936.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $660.67 / $811.33 / $1,547.54	Professional		$660.67	$811.33	$1,547.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,016.74 / $1,016.74 / $1,016.74	Professional		$1,016.74	$1,016.74	$1,016.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $486.75 / $972.14 / $1,913.90	Professional		$486.75	$972.14	$1,913.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $962.84 / $1,305.18 / $1,474.33	Professional		$962.84	$1,305.18	$1,474.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,283.18 / $4,447.22 / $7,893.03	Facility		$4,283.18	$4,447.22	$7,893.03
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $718.36 / $1,053.83 / $1,518.80	Professional		$718.36	$1,053.83	$1,518.80
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 $527.28 / $904.81 / $1,801.82	Professional		$527.28	$904.81	$1,801.82