Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $825.00 / $1,125.72 / $4,947.21	Facility		$825.00	$1,125.72	$4,947.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $500.00 / $825.00 / $825.00	Professional		$500.00	$825.00	$825.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $596.25 / $596.25 / $596.25	Professional		$596.25	$596.25	$596.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $698.00 / $1,752.38 / $3,642.97	Facility		$698.00	$1,752.38	$3,642.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $468.97 / $750.36 / $1,153.00	Professional		$468.97	$750.36	$1,153.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $365.70 / $477.00 / $1,058.94	Professional		$365.70	$477.00	$1,058.94
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 $317.08 / $561.63 / $636.00	Professional		$317.08	$561.63	$636.00
United Facility/Professional Professional Modifier Low / Median / High Price $318.00 / $477.00 / $810.90	Professional		$318.00	$477.00	$810.90