Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $655.51 / $5,843.00 / $10,871.00	Facility		$655.51	$5,843.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $708.93 / $872.89 / $2,192.76	Professional		$708.93	$872.89	$2,192.76
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,096.28 / $1,096.28 / $1,096.28	Professional		$1,096.28	$1,096.28	$1,096.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.96 / $1,041.70 / $2,057.44	Professional		$523.96	$1,041.70	$2,057.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.24 / $1,407.39 / $1,590.95	Professional		$1,038.24	$1,407.39	$1,590.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,075.77 / $4,447.22 / $9,032.07	Facility		$4,075.77	$4,447.22	$9,032.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $769.87 / $1,134.59 / $1,614.12	Professional		$769.87	$1,134.59	$1,614.12
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 $591.22 / $974.82 / $1,900.68	Professional		$591.22	$974.82	$1,900.68