Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $920.55 / $6,367.00 / $11,298.00	Facility		$920.55	$6,367.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.87 / $920.56 / $1,437.69	Professional		$750.87	$920.56	$1,437.69
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $485.74 / $485.74 / $485.74	Professional		$485.74	$485.74	$485.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $707.37 / $1,131.83 / $2,607.77	Professional		$707.37	$1,131.83	$2,607.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $528.00 / $804.00 / $1,390.72	Professional		$528.00	$804.00	$1,390.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,780.39 / $17,358.41 / $21,208.63	Facility		$9,780.39	$17,358.41	$21,208.63
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $737.86 / $980.92 / $1,491.98	Professional		$737.86	$980.92	$1,491.98
United Facility/Professional Facility Modifier Low / Median / High Price $5,667.00 / $9,969.00 / $19,696.00	Facility		$5,667.00	$9,969.00	$19,696.00
United Facility/Professional Professional Modifier Low / Median / High Price $714.86 / $1,016.18 / $1,762.19	Professional		$714.86	$1,016.18	$1,762.19