Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $589.54 / $4,372.00 / $8,155.00	Facility		$589.54	$4,372.00	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $543.98 / $657.86 / $1,582.74	Professional		$543.98	$657.86	$1,582.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $704.39 / $704.39 / $745.82	Professional		$704.39	$704.39	$745.82
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,083.50 / $3,083.50 / $3,980.55	Facility		$3,083.50	$3,083.50	$3,980.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $812.64 / $837.72 / $837.72	Professional		$812.64	$837.72	$837.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.76 / $787.20 / $1,552.25	Professional		$395.76	$787.20	$1,552.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $793.36 / $1,075.44 / $1,214.55	Professional		$793.36	$1,075.44	$1,214.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,024.24 / $4,447.22 / $9,032.07	Facility		$4,024.24	$4,447.22	$9,032.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $586.58 / $823.60 / $1,270.01	Professional		$586.58	$823.60	$1,270.01
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $448.83 / $811.09 / $1,581.15	Professional		$448.83	$811.09	$1,581.15