Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $908.44 / $1,581.80 / $3,105.70	Facility		$908.44	$1,581.80	$3,105.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $960.00 / $1,214.63 / $1,214.63	Professional		$960.00	$1,214.63	$1,214.63
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,311.80 / $1,311.80 / $1,311.80	Professional		$1,311.80	$1,311.80	$1,311.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,114.33 / $1,238.93 / $1,442.08	Facility		$1,114.33	$1,238.93	$1,442.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,238.93 / $1,238.93 / $1,238.93	Professional		$1,238.93	$1,238.93	$1,238.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,166.05 / $1,238.93 / $1,457.56	Professional		$1,166.05	$1,238.93	$1,457.56
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 $1,123.24 / $1,238.93 / $1,238.93	Professional		$1,123.24	$1,238.93	$1,238.93
United Facility/Professional Professional Modifier Low / Median / High Price $485.85 / $1,214.63 / $1,457.56	Professional		$485.85	$1,214.63	$1,457.56