Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $717.49 / $1,797.68 / $4,308.63	Facility		$717.49	$1,797.68	$4,308.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $418.53 / $448.43 / $719.07	Professional		$418.53	$448.43	$719.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $448.43 / $448.43 / $1,883.70	Professional		$448.43	$448.43	$1,883.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $417.80 / $1,317.90 / $2,739.83	Facility		$417.80	$1,317.90	$2,739.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $338.44 / $638.41 / $1,226.77	Professional		$338.44	$638.41	$1,226.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.04 / $358.75 / $796.42	Professional		$275.04	$358.75	$796.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $388.64 / $403.41 / $478.33	Professional		$388.64	$403.41	$478.33
United Facility/Professional Professional Modifier Low / Median / High Price $66.43 / $358.75 / $597.91	Professional		$66.43	$358.75	$597.91