Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $6,309.57 / $10,715.19	Facility		$2,137.96	$6,309.57	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $588.84 / $870.96 / $3,311.31	Professional		$588.84	$870.96	$3,311.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $549.54 / $891.25	Professional		$489.78	$549.54	$891.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $831.76 / $831.76 / $851.14	Professional		$831.76	$831.76	$851.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $870.96 / $1,778.28	Professional		$478.63	$870.96	$1,778.28
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 $549.54 / $891.25 / $1,445.44	Professional		$549.54	$891.25	$1,445.44
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 $371.54 / $616.60 / $1,348.96	Professional		$371.54	$616.60	$1,348.96