Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $480.43 / $4,667.00 / $10,202.00	Facility		$480.43	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.19 / $419.40 / $537.61	Professional		$355.19	$419.40	$537.61
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $505.27 / $505.27 / $505.27	Professional		$505.27	$505.27	$505.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.24 / $594.69 / $1,238.54	Professional		$375.24	$594.69	$1,238.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $573.34 / $625.37 / $695.96	Professional		$573.34	$625.37	$695.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,605.89 / $12,657.58 / $25,063.76	Facility		$10,605.89	$12,657.58	$25,063.76
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $310.49 / $393.07 / $748.59	Professional		$310.49	$393.07	$748.59
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 $344.19 / $467.67 / $1,125.43	Professional		$344.19	$467.67	$1,125.43