Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $610.29 / $5,845.00 / $11,208.00	Facility		$610.29	$5,845.00	$11,208.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $650.55 / $804.98 / $1,444.40	Professional		$650.55	$804.98	$1,444.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $970.88 / $970.88 / $970.88	Professional		$970.88	$970.88	$970.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.23 / $966.08 / $1,892.50	Professional		$495.23	$966.08	$1,892.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $968.88 / $1,313.37 / $1,481.00	Professional		$968.88	$1,313.37	$1,481.00
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 $749.56 / $1,004.54 / $1,512.80	Professional		$749.56	$1,004.54	$1,512.80
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 $541.17 / $900.54 / $1,778.39	Professional		$541.17	$900.54	$1,778.39