Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $759.71 / $4,294.00 / $9,125.00	Facility		$759.71	$4,294.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $727.98 / $867.88 / $1,555.93	Professional		$727.98	$867.88	$1,555.93
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,101.98 / $1,101.98 / $1,101.98	Professional		$1,101.98	$1,101.98	$1,101.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $523.28 / $1,045.98 / $2,063.71	Professional		$523.28	$1,045.98	$2,063.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,038.88 / $1,408.26 / $1,593.71	Professional		$1,038.88	$1,408.26	$1,593.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,447.22 / $9,032.07 / $9,643.75	Facility		$4,447.22	$9,032.07	$9,643.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $796.22 / $1,078.71 / $1,638.75	Professional		$796.22	$1,078.71	$1,638.75
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 $563.67 / $946.24 / $1,909.71	Professional		$563.67	$946.24	$1,909.71