Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $380.45 / $5,647.00 / $9,950.00	Facility		$380.45	$5,647.00	$9,950.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.06 / $1,136.18 / $1,518.36	Professional		$301.06	$1,136.18	$1,518.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $335.57 / $335.57 / $335.57	Professional		$335.57	$335.57	$335.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.50 / $942.50 / $3,218.95	Professional		$311.50	$942.50	$3,218.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $575.79 / $1,924.31 / $2,221.10	Professional		$575.79	$1,924.31	$2,221.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,379.20 / $13,581.28 / $16,593.68	Facility		$6,379.20	$13,581.28	$16,593.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $254.86 / $1,201.95 / $2,059.98	Professional		$254.86	$1,201.95	$2,059.98
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 $1,151.54 / $1,633.91 / $4,097.83	Professional		$1,151.54	$1,633.91	$4,097.83