Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,400.47 / $6,450.00 / $11,298.00	Facility		$1,400.47	$6,450.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,132.81 / $1,366.17 / $1,836.67	Professional		$1,132.81	$1,366.17	$1,836.67
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2,918.16 / $2,918.16 / $2,918.16	Professional		$2,918.16	$2,918.16	$2,918.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $899.19 / $1,481.24 / $3,320.92	Professional		$899.19	$1,481.24	$3,320.92
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $994.06 / $1,332.56 / $3,134.68	Professional		$994.06	$1,332.56	$3,134.68
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,963.46 / $9,780.39 / $21,208.63	Facility		$8,963.46	$9,780.39	$21,208.63
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $939.96 / $1,393.36 / $2,238.32	Professional		$939.96	$1,393.36	$2,238.32
United Facility/Professional Facility Modifier Low / Median / High Price $5,682.00 / $9,969.00 / $19,690.00	Facility		$5,682.00	$9,969.00	$19,690.00
United Facility/Professional Professional Modifier Low / Median / High Price $914.63 / $1,299.51 / $2,626.67	Professional		$914.63	$1,299.51	$2,626.67