Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,480.75 / $5,461.00 / $10,202.00	Facility		$1,480.75	$5,461.00	$10,202.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $11,443.75 / $11,443.75 / $11,443.75	Facility	50	$11,443.75	$11,443.75	$11,443.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.44 / $598.22 / $970.39	Professional		$524.44	$598.22	$970.39
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5,825.63 / $5,825.63 / $5,825.63	Facility		$5,825.63	$5,825.63	$5,825.63
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,096.50 / $1,096.50 / $1,096.50	Professional		$1,096.50	$1,096.50	$1,096.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $574.70 / $868.64 / $1,815.19	Professional		$574.70	$868.64	$1,815.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $518.01 / $901.68 / $909.21	Professional		$518.01	$901.68	$909.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,576.03 / $7,138.04 / $15,043.78	Facility		$6,576.03	$7,138.04	$15,043.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $509.30 / $700.98 / $1,398.79	Professional		$509.30	$700.98	$1,398.79
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 $480.14 / $682.26 / $1,625.17	Professional		$480.14	$682.26	$1,625.17