Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $473.80 / $4,516.00 / $9,784.00	Facility		$473.80	$4,516.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.55 / $567.33 / $1,170.27	Professional		$316.55	$567.33	$1,170.27
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $549.11 / $825.35 / $1,631.52	Professional		$549.11	$825.35	$1,631.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.91 / $623.66 / $1,202.03	Professional		$308.91	$623.66	$1,202.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $268.25 / $1,087.96	Professional		$24.00	$268.25	$1,087.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,200.99 / $1,433.32 / $2,641.30	Facility		$1,200.99	$1,433.32	$2,641.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.90 / $655.95 / $1,028.68	Professional		$338.90	$655.95	$1,028.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $424.47 / $655.95 / $1,347.35	Professional		$424.47	$655.95	$1,347.35