Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,059.00 / $5,728.00 / $10,692.00	Facility		$3,059.00	$5,728.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.92 / $488.83 / $525.23	Professional		$422.92	$488.83	$525.23
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,870.05 / $3,870.05 / $3,870.05	Facility		$3,870.05	$3,870.05	$3,870.05
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7,928.00 / $7,928.00 / $9,769.00	Facility		$7,928.00	$7,928.00	$9,769.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $571.97 / $674.99 / $1,304.65	Professional		$571.97	$674.99	$1,304.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55,249.45 / $55,249.45 / $55,249.45	Professional		$55,249.45	$55,249.45	$55,249.45
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.09 / $932.71 / $1,060.57	Facility		$489.09	$932.71	$1,060.57
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $418.58 / $552.04 / $881.76	Professional		$418.58	$552.04	$881.76
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00