Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,207.96 / $6,466.50 / $10,918.47	Facility		$2,207.96	$6,466.50	$10,918.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.52 / $1,107.83 / $1,789.77	Professional		$931.52	$1,107.83	$1,789.77
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,468.25 / $5,554.74 / $8,182.00	Facility		$2,468.25	$5,554.74	$8,182.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3,760.00 / $3,760.00 / $3,760.00	Professional		$3,760.00	$3,760.00	$3,760.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,052.40 / $1,573.87 / $3,399.57	Professional		$1,052.40	$1,573.87	$3,399.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $982.23 / $1,686.00 / $1,708.69	Professional		$982.23	$1,686.00	$1,708.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,478.58 / $17,367.83 / $35,273.11	Facility		$14,478.58	$17,367.83	$35,273.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $964.39 / $1,320.54 / $2,695.54	Professional		$964.39	$1,320.54	$2,695.54
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $883.87 / $1,341.97 / $3,708.84	Professional		$883.87	$1,341.97	$3,708.84