Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $415.00 / $5,458.00 / $9,383.00	Facility		$415.00	$5,458.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.47 / $349.57 / $532.11	Professional		$181.47	$349.57	$532.11
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $19,277.15 / $19,277.15 / $19,277.15	Facility		$19,277.15	$19,277.15	$19,277.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,222.30 / $1,222.30 / $1,222.30	Professional		$1,222.30	$1,222.30	$1,222.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $500.17 / $1,032.67	Professional		$284.45	$500.17	$1,032.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $460.16 / $606.19 / $671.77	Professional		$460.16	$606.19	$671.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,685.21 / $11,558.82 / $13,645.35	Facility		$9,685.21	$11,558.82	$13,645.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.15 / $398.15 / $656.28	Professional		$230.15	$398.15	$656.28
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $360.03 / $519.02 / $878.72	Professional		$360.03	$519.02	$878.72