Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $316.43 / $3,678.96 / $8,419.00	Facility		$316.43	$3,678.96	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $359.08 / $579.74	Professional		$275.52	$359.08	$579.74
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,276.67 / $2,276.67 / $2,276.67	Facility		$2,276.67	$2,276.67	$2,276.67
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.00 / $3,438.00 / $3,438.00	Facility		$3,438.00	$3,438.00	$3,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $290.10 / $508.29 / $1,071.90	Professional		$290.10	$508.29	$1,071.90
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.50 / $254.38 / $697.06	Professional		$58.50	$254.38	$697.06
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,766.81 / $7,587.62 / $15,991.30	Facility		$6,766.81	$7,587.62	$15,991.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $232.14 / $409.11 / $699.92	Professional		$232.14	$409.11	$699.92
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $300.38 / $455.34 / $957.56	Professional		$300.38	$455.34	$957.56