Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.10 / $5,021.00 / $9,784.00	Facility		$545.10	$5,021.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.97 / $664.81 / $1,302.66	Professional		$469.97	$664.81	$1,302.66
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $488.65 / $488.65 / $488.65	Professional		$488.65	$488.65	$488.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $520.11 / $932.98 / $1,952.13	Professional		$520.11	$932.98	$1,952.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $751.75 / $1,051.88 / $1,317.53	Professional		$751.75	$1,051.88	$1,317.53
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,478.58 / $15,917.17 / $37,661.98	Facility		$14,478.58	$15,917.17	$37,661.98
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $439.03 / $856.56 / $1,572.65	Professional		$439.03	$856.56	$1,572.65
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $645.10 / $996.94 / $2,486.71	Professional		$645.10	$996.94	$2,486.71