Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,131.61 / $1,131.61 / $1,553.75	Facility		$1,131.61	$1,131.61	$1,553.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $422.96 / $497.60 / $497.60	Professional		$422.96	$497.60	$497.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.62 / $112.31 / $381.75	Professional		$107.62	$112.31	$381.75
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $6,126.15 / $9,948.75 / $14,327.17	Facility		$6,126.15	$9,948.75	$14,327.17
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $205.92 / $607.75 / $926.25	Professional		$205.92	$607.75	$926.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.61 / $269.75 / $902.65	Professional		$54.61	$269.75	$902.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $1,165.00 / $2,360.00	Facility		$1,165.00	$1,165.00	$2,360.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $272.54 / $332.22 / $625.48	Professional		$272.54	$332.22	$625.48
United Facility/Professional Professional Modifier Low / Median / High Price $201.03 / $384.20 / $690.73	Professional		$201.03	$384.20	$690.73