Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,286.00 / $4,667.00 / $10,202.00	Facility		$2,286.00	$4,667.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,467.00 / $4,326.00 / $11,298.00	Professional		$1,467.00	$4,326.00	$11,298.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $462.00 / $462.00 / $462.00	Professional		$462.00	$462.00	$462.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.00 / $391.00 / $391.00	Professional		$391.00	$391.00	$391.00
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 $2,062.60 / $2,591.61 / $4,629.32	Facility		$2,062.60	$2,591.61	$4,629.32
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $400.00 / $400.00 / $400.00	Professional		$400.00	$400.00	$400.00