Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.00 / $4,540.00 / $9,383.00	Facility		$160.00	$4,540.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $1,299.48 / $1,909.68	Professional		$142.43	$1,299.48	$1,909.68
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,964.74 / $1,964.74 / $1,964.74	Professional		$1,964.74	$1,964.74	$1,964.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $162.24 / $554.03 / $4,454.10	Professional		$162.24	$554.03	$4,454.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.20 / $2,091.15 / $2,398.81	Professional		$275.20	$2,091.15	$2,398.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,588.91 / $3,588.91 / $9,643.75	Facility		$3,588.91	$3,588.91	$9,643.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.72 / $1,560.18 / $2,593.41	Professional		$123.72	$1,560.18	$2,593.41
United Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,788.00 / $7,579.00	Facility		$2,150.00	$4,788.00	$7,579.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,371.00 / $1,932.12 / $5,096.28	Professional		$1,371.00	$1,932.12	$5,096.28