Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $884.05 / $4,247.89 / $10,202.00	Facility		$884.05	$4,247.89	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $753.94 / $930.20 / $2,288.38	Professional		$753.94	$930.20	$2,288.38
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $61.79 / $624.02 / $640.75	Professional	AS	$61.79	$624.02	$640.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,810.43 / $1,810.43 / $1,810.43	Professional		$1,810.43	$1,810.43	$1,810.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $567.86 / $1,124.58 / $2,208.64	Professional		$567.86	$1,124.58	$2,208.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,133.52 / $1,536.55 / $1,717.15	Professional		$1,133.52	$1,536.55	$1,717.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,157.14 / $8,900.56 / $18,076.52	Facility		$8,157.14	$8,900.56	$18,076.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $813.96 / $1,229.68 / $1,758.83	Professional		$813.96	$1,229.68	$1,758.83
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $8,305.00 / $14,121.00	Facility		$5,682.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $641.70 / $1,024.63 / $2,102.46	Professional		$641.70	$1,024.63	$2,102.46