Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $894.20 / $3,922.18 / $8,245.00	Facility		$894.20	$3,922.18	$8,245.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.19 / $559.83 / $1,103.72	Professional		$160.19	$559.83	$1,103.72
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $528.64 / $1,253.35 / $11,650.18	Facility		$528.64	$1,253.35	$11,650.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $188.91 / $188.91 / $188.91	Professional		$188.91	$188.91	$188.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,205.51 / $1,205.51 / $1,205.51	Facility		$1,205.51	$1,205.51	$1,205.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.98 / $730.15 / $2,714.09	Professional		$218.98	$730.15	$2,714.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $322.49 / $1,111.68 / $1,368.66	Professional		$322.49	$1,111.68	$1,368.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,793.84 / $3,939.13 / $8,000.16	Facility		$3,793.84	$3,939.13	$8,000.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.19 / $851.23 / $1,590.73	Professional		$148.19	$851.23	$1,590.73
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 $441.13 / $1,117.41 / $2,577.23	Professional		$441.13	$1,117.41	$2,577.23