Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,023.29 / $3,019.95	Facility		$630.96	$1,023.29	$3,019.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $416.87 / $891.25	Professional		$363.08	$416.87	$891.25
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $562.34 / $1,071.52 / $2,238.72	Facility		$562.34	$1,071.52	$2,238.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $331.13 / $524.81 / $1,122.02	Professional		$331.13	$524.81	$1,122.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $549.54 / $933.25	Professional		$288.40	$549.54	$933.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $9,549.93 / $25,118.86	Facility		$151.36	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $389.05 / $389.05 / $489.78	Professional		$389.05	$389.05	$489.78
United Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $489.78 / $1,000.00	Facility		$229.09	$489.78	$1,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $295.12 / $707.95	Professional		$204.17	$295.12	$707.95