Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $719.07 / $3,503.52 / $13,655.00	Facility		$719.07	$3,503.52	$13,655.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.07 / $1,359.04 / $2,919.60	Professional		$719.07	$1,359.04	$2,919.60
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5,913.00 / $5,913.00 / $6,204.15	Facility		$5,913.00	$5,913.00	$6,204.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5,401.26 / $5,401.26 / $5,401.26	Professional		$5,401.26	$5,401.26	$5,401.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,040.13 / $6,435.03 / $13,378.63	Facility		$2,040.13	$6,435.03	$13,378.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,707.97 / $3,027.86 / $4,960.85	Professional		$1,707.97	$3,027.86	$4,960.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,343.02 / $1,751.76 / $3,888.91	Professional		$1,343.02	$1,751.76	$3,888.91
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,043.72 / $13,785.00 / $13,785.00	Facility		$2,043.72	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,043.72 / $2,043.72 / $2,043.72	Professional		$2,043.72	$2,043.72	$2,043.72
United Facility/Professional Professional Modifier Low / Median / High Price $1,211.59 / $1,751.76 / $2,977.99	Professional		$1,211.59	$1,751.76	$2,977.99