Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $526.98 / $526.98 / $4,916.42	Facility		$526.98	$526.98	$4,916.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $495.98 / $514.58 / $526.98	Professional		$495.98	$514.58	$526.98
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,028.30 / $1,028.30 / $1,028.30	Facility		$1,028.30	$1,028.30	$1,028.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $489.60 / $526.98 / $633.60	Facility		$489.60	$526.98	$633.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $526.98	Professional		$526.98	$526.98	$526.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $508.92 / $581.66 / $13,785.00	Facility		$508.92	$581.66	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.98 / $526.98 / $2,250.00	Professional		$526.98	$526.98	$2,250.00
United Facility/Professional Professional Modifier Low / Median / High Price $516.65 / $516.65 / $590.22	Professional		$516.65	$516.65	$590.22