Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,981.07 / $5,888.44 / $10,715.19	Facility		$3,981.07	$5,888.44	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.84 / $436.52 / $977.24	Professional		$338.84	$436.52	$977.24
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5,754.40 / $5,754.40 / $5,754.40	Facility		$5,754.40	$5,754.40	$5,754.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $549.54 / $1,288.25	Professional		$331.13	$549.54	$1,288.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $288.40 / $380.19	Professional		$213.80	$288.40	$380.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,918.31 / $11,220.18 / $17,378.01	Facility		$6,918.31	$11,220.18	$17,378.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $426.58 / $912.01	Professional		$309.03	$426.58	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,128.61 / $9,120.11	Facility		$2,511.89	$5,128.61	$9,120.11
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $363.08 / $776.25	Professional		$151.36	$363.08	$776.25