Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $219.06 / $4,257.00 / $9,768.94	Facility		$219.06	$4,257.00	$9,768.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.23 / $496.08 / $970.27	Professional		$179.23	$496.08	$970.27
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 $194.81 / $708.68 / $1,967.49	Professional		$194.81	$708.68	$1,967.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $317.64 / $1,073.71 / $1,319.97	Professional		$317.64	$1,073.71	$1,319.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,075.85 / $8,385.14 / $17,029.74	Facility		$8,075.85	$8,385.14	$17,029.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $142.13 / $673.91 / $1,203.23	Professional		$142.13	$673.91	$1,203.23
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $503.77 / $775.64 / $1,751.00	Professional		$503.77	$775.64	$1,751.00