Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,373.92 / $6,396.00 / $12,733.00	Facility		$1,373.92	$6,396.00	$12,733.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $994.10 / $1,111.15 / $1,922.73	Professional		$994.10	$1,111.15	$1,922.73
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $21,172.45 / $21,172.45 / $21,172.45	Facility		$21,172.45	$21,172.45	$21,172.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $982.43 / $1,694.96 / $3,185.71	Professional		$982.43	$1,694.96	$3,185.71
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,288.29 / $1,716.41 / $2,057.83	Professional		$1,288.29	$1,716.41	$2,057.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24,378.15 / $25,311.77 / $28,778.74	Facility		$24,378.15	$25,311.77	$28,778.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $913.82 / $1,195.94 / $2,027.19	Professional		$913.82	$1,195.94	$2,027.19
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 $1,001.38 / $1,463.75 / $2,540.21	Professional		$1,001.38	$1,463.75	$2,540.21