Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.36 / $4,189.00 / $9,284.00	Facility		$406.36	$4,189.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $346.43 / $440.05 / $686.35	Professional		$346.43	$440.05	$686.35
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,546.95 / $3,546.95 / $3,546.95	Facility		$3,546.95	$3,546.95	$3,546.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $371.71 / $646.04 / $1,407.76	Professional		$371.71	$646.04	$1,407.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $421.82 / $680.19 / $742.52	Professional		$421.82	$680.19	$742.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,362.84 / $6,572.89 / $17,097.55	Facility		$6,362.84	$6,572.89	$17,097.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $335.83 / $537.98 / $1,113.86	Professional		$335.83	$537.98	$1,113.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,879.00 / $5,864.00 / $10,105.00	Facility		$2,879.00	$5,864.00	$10,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $375.08 / $608.25 / $1,518.49	Professional		$375.08	$608.25	$1,518.49