Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $572.34 / $6,325.00 / $11,415.00	Facility		$572.34	$6,325.00	$11,415.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.77 / $676.98 / $1,173.61	Professional		$530.77	$676.98	$1,173.61
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Facility		$2,500.00	$2,500.00	$2,500.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $584.02 / $896.81 / $1,897.87	Professional		$584.02	$896.81	$1,897.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $663.54 / $1,025.90 / $1,176.11	Professional		$663.54	$1,025.90	$1,176.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,382.16 / $27,428.23 / $29,209.37	Facility		$14,382.16	$27,428.23	$29,209.37
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $518.42 / $832.41 / $1,617.62	Professional		$518.42	$832.41	$1,617.62
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 $587.21 / $933.93 / $2,178.79	Professional		$587.21	$933.93	$2,178.79