Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $5,248.07 / $9,332.54	Facility		$1,318.26	$5,248.07	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $562.34 / $831.76 / $3,090.30	Professional		$562.34	$831.76	$3,090.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $575.44	Professional		$467.74	$467.74	$575.44
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,090.30 / $3,090.30 / $3,981.07	Facility		$3,090.30	$3,090.30	$3,981.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $812.83 / $831.76	Professional		$812.83	$812.83	$831.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $812.83 / $1,737.80	Professional		$478.63	$812.83	$1,737.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,096.48 / $1,258.93	Professional		$812.83	$1,096.48	$1,258.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,168.69 / $5,128.61 / $9,120.11	Facility		$4,168.69	$5,128.61	$9,120.11
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $870.96 / $1,412.54	Professional		$512.86	$870.96	$1,412.54
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $8,709.64	Facility		$2,570.40	$5,128.61	$8,709.64
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $588.84 / $1,288.25	Professional		$354.81	$588.84	$1,288.25