Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $424.87 / $4,895.00 / $9,842.00	Facility		$424.87	$4,895.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.45 / $523.64 / $1,104.25	Professional		$284.45	$523.64	$1,104.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $669.72 / $669.72 / $669.72	Professional		$669.72	$669.72	$669.72
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $675.03 / $812.08 / $1,604.41	Professional		$675.03	$812.08	$1,604.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.89 / $543.89 / $1,125.31	Professional		$276.89	$543.89	$1,125.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $661.45 / $896.63 / $1,023.93	Professional		$661.45	$896.63	$1,023.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,240.63 / $1,488.21 / $1,692.05	Facility		$1,240.63	$1,488.21	$1,692.05
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $304.02 / $616.10 / $944.37	Professional		$304.02	$616.10	$944.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $421.05 / $616.10 / $1,196.67	Professional		$421.05	$616.10	$1,196.67