Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.40 / $5,461.00 / $9,299.00	Facility		$597.40	$5,461.00	$9,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.12 / $668.60 / $1,676.75	Professional		$575.12	$668.60	$1,676.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $840.02 / $840.02 / $844.74	Professional		$840.02	$840.02	$844.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $411.17 / $826.70 / $1,590.60	Professional		$411.17	$826.70	$1,590.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $798.78 / $1,082.79 / $1,223.38	Professional		$798.78	$1,082.79	$1,223.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,588.91 / $4,447.22 / $8,481.31	Facility		$3,588.91	$4,447.22	$8,481.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $625.05 / $867.63 / $1,262.54	Professional		$625.05	$867.63	$1,262.54
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 $405.71 / $685.10 / $1,441.07	Professional		$405.71	$685.10	$1,441.07