Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,754.23 / $7,943.28 / $12,302.69	Facility		$2,754.23	$7,943.28	$12,302.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,096.48 / $1,412.54 / $5,128.61	Professional		$1,096.48	$1,412.54	$5,128.61
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2,951.21 / $2,951.21 / $2,951.21	Professional		$2,951.21	$2,951.21	$2,951.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $891.25 / $1,380.38 / $3,630.78	Professional		$891.25	$1,380.38	$3,630.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.00 / $1,148.15 / $1,513.56	Professional		$1,000.00	$1,148.15	$1,513.56
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,128.31 / $12,882.50 / $20,417.38	Facility		$8,128.31	$12,882.50	$20,417.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $933.25 / $1,288.25 / $2,951.21	Professional		$933.25	$1,288.25	$2,951.21
United Facility/Professional Facility Modifier Low / Median / High Price $3,890.45 / $8,709.64 / $21,379.62	Facility		$3,890.45	$8,709.64	$21,379.62
United Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,288.25 / $2,398.83	Professional		$812.83	$1,288.25	$2,398.83