Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,606.63 / $6,986.00 / $11,798.00	Facility		$1,606.63	$6,986.00	$11,798.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,317.81 / $1,606.63 / $2,135.56	Professional		$1,317.81	$1,606.63	$2,135.56
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,435.23 / $1,435.23 / $1,435.23	Professional		$1,435.23	$1,435.23	$1,435.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,046.33 / $1,950.42 / $4,357.35	Professional		$1,046.33	$1,950.42	$4,357.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,156.63 / $1,548.90 / $3,643.60	Professional		$1,156.63	$1,548.90	$3,643.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12,081.58 / $14,262.48 / $23,923.20	Facility		$12,081.58	$14,262.48	$23,923.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,093.69 / $1,497.58 / $2,493.96	Professional		$1,093.69	$1,497.58	$2,493.96
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 $1,063.26 / $1,521.05 / $3,029.87	Professional		$1,063.26	$1,521.05	$3,029.87