Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,793.25 / $5,521.00 / $9,784.00	Facility		$1,793.25	$5,521.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3,059.00 / $6,550.00 / $11,298.00	Professional		$3,059.00	$6,550.00	$11,298.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,820.00 / $1,820.00 / $1,820.00	Professional		$1,820.00	$1,820.00	$1,820.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $55,249.45	Professional		$55,249.45	$55,249.45	$55,249.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,253.06 / $1,503.12 / $3,052.72	Facility		$1,253.06	$1,503.12	$3,052.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00