Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $925.52 / $5,911.00 / $11,235.00	Facility		$925.52	$5,911.00	$11,235.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $656.57 / $1,637.15 / $2,665.95	Professional		$656.57	$1,637.15	$2,665.95
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $24,616.80 / $24,616.80 / $24,616.80	Facility		$24,616.80	$24,616.80	$24,616.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $737.63 / $737.63 / $737.63	Professional		$737.63	$737.63	$737.63
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 $667.22 / $1,666.59 / $5,071.97	Professional		$667.22	$1,666.59	$5,071.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,278.27 / $2,356.17 / $2,896.65	Professional		$1,278.27	$2,356.17	$2,896.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,973.98 / $9,973.98 / $26,801.02	Facility		$9,973.98	$9,973.98	$26,801.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $564.04 / $1,534.01 / $2,916.04	Professional		$564.04	$1,534.01	$2,916.04
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $9,969.00 / $19,696.00	Facility		$5,682.00	$9,969.00	$19,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,150.91 / $1,899.70 / $4,186.30	Professional		$1,150.91	$1,899.70	$4,186.30