Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.22 / $4,791.00 / $9,936.00	Facility		$381.22	$4,791.00	$9,936.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.25 / $467.88 / $716.14	Professional		$330.25	$467.88	$716.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $920.00 / $920.00 / $920.00	Professional		$920.00	$920.00	$920.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $369.52 / $627.14 / $1,370.61	Professional		$369.52	$627.14	$1,370.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $490.10 / $700.06 / $874.58	Professional		$490.10	$700.06	$874.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,015.87 / $15,715.96 / $35,273.11	Facility		$14,015.87	$15,715.96	$35,273.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $338.73 / $589.30 / $1,120.57	Professional		$338.73	$589.30	$1,120.57
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 $451.65 / $751.13 / $1,665.07	Professional		$451.65	$751.13	$1,665.07