Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.03 / $4,174.00 / $8,709.37	Facility		$248.03	$4,174.00	$8,709.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.71 / $283.13 / $527.40	Professional		$227.71	$283.13	$527.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $300.68 / $300.68 / $300.68	Professional		$300.68	$300.68	$300.68
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11,055.20 / $11,055.20 / $11,055.20	Facility		$11,055.20	$11,055.20	$11,055.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $186.68 / $186.68 / $186.68	Professional		$186.68	$186.68	$186.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.40 / $343.30 / $638.13	Professional		$173.40	$343.30	$638.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $344.77 / $467.36 / $522.03	Professional		$344.77	$467.36	$522.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,615.29 / $5,615.29 / $6,958.22	Facility		$5,615.29	$5,615.29	$6,958.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $257.37 / $357.87 / $514.34	Professional		$257.37	$357.87	$514.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.50 / $328.32 / $641.37	Professional		$190.50	$328.32	$641.37