Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $5,495.41 / $10,471.29	Facility		$331.13	$5,495.41	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $323.59 / $1,258.93	Professional		$204.17	$323.59	$1,258.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $288.40 / $288.40 / $288.40	Professional		$288.40	$288.40	$288.40
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $1,258.93 / $1,258.93	Facility		$1,258.93	$1,258.93	$1,258.93
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $309.03 / $309.03	Professional		$309.03	$309.03	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $346.74 / $831.76	Professional		$218.78	$346.74	$831.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $371.54 / $501.19 / $575.44	Professional		$371.54	$501.19	$575.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.99 / $1,698.24 / $2,630.27	Facility		$954.99	$1,698.24	$2,630.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $371.54 / $630.96	Professional		$190.55	$371.54	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $7,762.47	Facility		$1,380.38	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $245.47 / $549.54	Professional		$131.83	$245.47	$549.54