Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $4,466.84 / $11,748.98	Facility		$1,318.26	$4,466.84	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $1,202.26 / $4,466.84	Professional		$741.31	$1,202.26	$4,466.84
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $61.66 / $457.09 / $912.01	Professional	AS	$61.66	$457.09	$912.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $630.96 / $630.96 / $1,202.26	Professional		$630.96	$630.96	$1,202.26
Ambetter Facility/Professional Professional Modifier AS Low / Median / High Price $87.10 / $87.10 / $87.10	Professional	AS	$87.10	$87.10	$87.10
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Professional		$1,819.70	$1,819.70	$1,819.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.83 / $1,122.02 / $2,290.87	Professional		$691.83	$1,122.02	$2,290.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,202.26 / $1,621.81 / $1,819.70	Professional		$1,202.26	$1,621.81	$1,819.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,413.10 / $11,748.98 / $18,620.87	Facility		$7,413.10	$11,748.98	$18,620.87
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $1,230.27 / $2,041.74	Professional		$724.44	$1,230.27	$2,041.74
United Facility/Professional Facility Modifier Low / Median / High Price $3,467.37 / $7,413.10 / $15,135.61	Facility		$3,467.37	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $851.14 / $1,905.46	Professional		$501.19	$851.14	$1,905.46