Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.52 / $1,013.44 / $1,708.63	Facility		$777.52	$1,013.44	$1,708.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.30 / $775.47 / $775.47	Professional		$410.30	$775.47	$775.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,165.60 / $3,165.60 / $3,574.25	Facility		$3,165.60	$3,165.60	$3,574.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $410.74 / $410.74 / $410.74	Professional		$410.74	$410.74	$410.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.91 / $1,406.38 / $2,856.28	Facility		$1,288.91	$1,406.38	$2,856.28
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.74 / $425.54 / $712.76	Professional		$316.74	$425.54	$712.76
United Facility/Professional Professional Modifier Low / Median / High Price $275.69 / $380.21 / $742.17	Professional		$275.69	$380.21	$742.17