Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $516.98 / $516.98 / $516.98	Facility		$516.98	$516.98	$516.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.98 / $613.67 / $786.42	Professional		$516.98	$613.67	$786.42
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,172.80 / $1,172.80 / $1,172.80	Professional		$1,172.80	$1,172.80	$1,172.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $791.74 / $840.60 / $1,518.60	Facility		$791.74	$840.60	$1,518.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $613.64 / $613.64 / $1,329.74	Professional		$613.64	$613.64	$1,329.74
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,387.35 / $1,397.11 / $1,989.37	Professional		$1,387.35	$1,397.11	$1,989.37
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,483.01 / $1,518.60 / $1,518.60	Professional		$1,483.01	$1,518.60	$1,518.60
United Facility/Professional Professional Modifier Low / Median / High Price $541.80 / $757.61 / $1,518.60	Professional		$541.80	$757.61	$1,518.60