Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.10 / $4,174.00 / $9,284.00	Facility		$454.10	$4,174.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $219.42 / $338.38 / $514.35	Professional		$219.42	$338.38	$514.35
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $756.98 / $8,082.37 / $14,224.18	Facility		$756.98	$8,082.37	$14,224.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $415.04 / $415.04 / $780.00	Professional		$415.04	$415.04	$780.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $242.61 / $500.29 / $1,134.60	Professional		$242.61	$500.29	$1,134.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $188.75 / $438.75 / $556.16	Professional		$188.75	$438.75	$556.16
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,564.34 / $4,980.33 / $9,498.02	Facility		$4,564.34	$4,980.33	$9,498.02
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.05 / $358.85 / $624.17	Professional		$188.05	$358.85	$624.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,879.00 / $5,864.00 / $10,105.00	Facility		$2,879.00	$5,864.00	$10,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $246.30 / $414.95 / $873.26	Professional		$246.30	$414.95	$873.26