Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $451.13 / $5,644.00 / $9,383.00	Facility		$451.13	$5,644.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $367.18 / $428.88 / $711.51	Professional		$367.18	$428.88	$711.51
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $312.74 / $312.74 / $312.74	Professional		$312.74	$312.74	$312.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.09 / $616.98 / $1,267.33	Professional		$428.09	$616.98	$1,267.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $391.23 / $547.85 / $684.65	Professional		$391.23	$547.85	$684.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,178.88 / $3,939.13 / $8,000.16	Facility		$3,178.88	$3,939.13	$8,000.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $378.96 / $515.87 / $1,084.28	Professional		$378.96	$515.87	$1,084.28
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $350.90 / $490.50 / $1,211.78	Professional		$350.90	$490.50	$1,211.78