Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,723.70 / $5,262.75 / $11,298.00	Facility		$1,723.70	$5,262.75	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $974.40 / $974.40 / $5,695.00	Professional		$974.40	$974.40	$5,695.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $6,303.60 / $6,303.60 / $6,303.60	Facility		$6,303.60	$6,303.60	$6,303.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $733.00 / $733.00 / $733.00	Professional		$733.00	$733.00	$733.00
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 $12,835.39 / $14,184.51 / $27,051.28	Facility		$12,835.39	$14,184.51	$27,051.28
United Facility/Professional Facility Modifier Low / Median / High Price $5,045.00 / $9,969.00 / $19,690.00	Facility		$5,045.00	$9,969.00	$19,690.00