Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,818.00 / $5,680.76 / $8,756.00	Facility		$3,818.00	$5,680.76	$8,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $316.32 / $545.29 / $939.47	Professional		$316.32	$545.29	$939.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,400.00 / $8,800.00 / $15,994.00	Facility		$3,400.00	$8,800.00	$15,994.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $275.31 / $275.31 / $275.31	Professional		$275.31	$275.31	$275.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.00 / $3,438.00 / $3,438.00	Facility		$3,438.00	$3,438.00	$3,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $347.47 / $711.51 / $1,487.60	Professional		$347.47	$711.51	$1,487.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $412.04 / $547.45 / $657.72	Professional		$412.04	$547.45	$657.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,860.02 / $12,001.50 / $24,374.38	Facility		$10,860.02	$12,001.50	$24,374.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $293.70 / $393.90 / $960.94	Professional		$293.70	$393.90	$960.94
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $337.43 / $503.08 / $853.43	Professional		$337.43	$503.08	$853.43