Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $487.83 / $5,845.00 / $10,692.00	Facility		$487.83	$5,845.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $397.25 / $477.71 / $660.37	Professional		$397.25	$477.71	$660.37
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,800.00 / $1,800.00 / $1,800.00	Facility		$1,800.00	$1,800.00	$1,800.00
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 $361.21 / $640.88 / $1,321.60	Professional		$361.21	$640.88	$1,321.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $437.98 / $593.82 / $708.98	Professional		$437.98	$593.82	$708.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,973.98 / $11,326.97 / $26,801.02	Facility		$9,973.98	$11,326.97	$26,801.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $317.18 / $439.00 / $777.11	Professional		$317.18	$439.00	$777.11
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 $285.72 / $438.41 / $921.66	Professional		$285.72	$438.41	$921.66