Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $873.93 / $1,127.92 / $2,230.59	Professional		$873.93	$1,127.92	$2,230.59
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $2,873.13 / $2,873.13 / $2,873.13	Professional		$2,873.13	$2,873.13	$2,873.13
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,377.00	Facility		$1,350.00	$1,350.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,147.50 / $1,350.00 / $3,090.00	Professional		$1,147.50	$1,350.00	$3,090.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3,423.48 / $3,423.48 / $3,423.48	Professional		$3,423.48	$3,423.48	$3,423.48
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $192.97 / $192.97 / $1,778.08	Professional		$192.97	$192.97	$1,778.08
United Facility/Professional Professional Modifier Low / Median / High Price $1,103.92 / $1,526.89 / $2,500.82	Professional		$1,103.92	$1,526.89	$2,500.82