Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.78 / $4,294.00 / $9,125.00	Facility		$340.78	$4,294.00	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.82 / $410.21 / $721.49	Professional		$292.82	$410.21	$721.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $303.70 / $303.70 / $303.70	Professional		$303.70	$303.70	$303.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $323.12 / $547.41 / $1,174.17	Professional		$323.12	$547.41	$1,174.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $412.62 / $633.22 / $726.81	Professional		$412.62	$633.22	$726.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,178.88 / $3,564.48 / $6,991.24	Facility		$3,178.88	$3,564.48	$6,991.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $295.22 / $504.22 / $960.68	Professional		$295.22	$504.22	$960.68
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 $379.87 / $588.79 / $1,364.93	Professional		$379.87	$588.79	$1,364.93