Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,659.59 / $5,248.07 / $10,715.19	Facility		$1,659.59	$5,248.07	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,513.56	Professional		$549.54	$724.44	$1,513.56
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $660.69 / $660.69 / $660.69	Professional		$660.69	$660.69	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $776.25 / $1,949.84	Professional		$489.78	$776.25	$1,949.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $616.60 / $851.14 / $1,148.15	Professional		$616.60	$851.14	$1,148.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,949.84 / $3,090.30 / $4,897.79	Facility		$1,949.84	$3,090.30	$4,897.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $794.33 / $1,412.54	Professional		$501.19	$794.33	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,398.83 / $5,128.61 / $8,511.38	Facility		$2,398.83	$5,128.61	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $457.09 / $630.96 / $1,202.26	Professional		$457.09	$630.96	$1,202.26