Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $378.50 / $4,830.00 / $9,383.00	Facility		$378.50	$4,830.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.77 / $309.63 / $489.04	Professional		$236.77	$309.63	$489.04
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,675.00 / $4,675.00 / $4,675.00	Facility		$4,675.00	$4,675.00	$4,675.00
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 $265.89 / $447.45 / $916.48	Professional		$265.89	$447.45	$916.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $323.07 / $438.16 / $522.80	Professional		$323.07	$438.16	$522.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,766.81 / $6,766.81 / $15,991.30	Facility		$6,766.81	$6,766.81	$15,991.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $233.39 / $313.01 / $537.42	Professional		$233.39	$313.01	$537.42
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 $198.57 / $293.97 / $648.77	Professional		$198.57	$293.97	$648.77