Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.96 / $4,370.00 / $10,692.00	Facility		$212.96	$4,370.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.33 / $875.48 / $4,592.07	Professional		$157.33	$875.48	$4,592.07
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $12,312.00 / $12,312.00 / $12,312.00	Facility		$12,312.00	$12,312.00	$12,312.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.89 / $564.04 / $9,102.85	Professional		$185.89	$564.04	$9,102.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $299.88 / $4,157.53 / $5,113.08	Professional		$299.88	$4,157.53	$5,113.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11,183.80 / $11,183.80 / $12,359.29	Facility		$11,183.80	$11,183.80	$12,359.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.85 / $2,862.58 / $5,374.91	Professional		$134.85	$2,862.58	$5,374.91
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $10,536.00 / $23,291.00	Facility		$5,682.00	$10,536.00	$23,291.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,043.59 / $3,594.86 / $7,757.27	Professional		$2,043.59	$3,594.86	$7,757.27