Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $703.54 / $4,908.00 / $9,842.00	Facility		$703.54	$4,908.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $507.78 / $664.30 / $955.17	Professional		$507.78	$664.30	$955.17
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $302.33 / $302.33 / $302.33	Professional		$302.33	$302.33	$302.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $451.10 / $762.97 / $1,790.72	Professional		$451.10	$762.97	$1,790.72
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $672.19 / $881.69 / $2,074.06	Professional		$672.19	$881.69	$2,074.06
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,577.22 / $5,671.88 / $10,816.89	Facility		$4,577.22	$5,671.88	$10,816.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $458.23 / $760.62 / $1,120.74	Professional		$458.23	$760.62	$1,120.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $7,250.00 / $10,536.00	Facility		$3,885.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $527.36 / $806.03 / $1,486.28	Professional		$527.36	$806.03	$1,486.28