Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $708.99 / $4,370.00 / $10,871.00	Facility		$708.99	$4,370.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $669.67 / $829.32 / $1,300.07	Professional		$669.67	$829.32	$1,300.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $426.66 / $426.66 / $881.94	Professional		$426.66	$426.66	$881.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $652.95 / $1,024.45 / $2,521.54	Professional		$652.95	$1,024.45	$2,521.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $783.71 / $1,045.03 / $2,458.32	Professional		$783.71	$1,045.03	$2,458.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,622.47 / $9,841.20 / $12,024.06	Facility		$4,622.47	$9,841.20	$12,024.06
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $669.77 / $992.83 / $1,326.69	Professional		$669.77	$992.83	$1,326.69
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 $719.78 / $1,009.18 / $1,728.12	Professional		$719.78	$1,009.18	$1,728.12