Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $4,786.30 / $7,943.28	Facility		$1,584.89	$4,786.30	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $436.52 / $1,071.52	Professional		$144.54	$436.52	$1,071.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $199.53 / $776.25	Professional		$134.90	$199.53	$776.25
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $5,011.87 / $13,803.84	Facility		$2,344.23	$5,011.87	$13,803.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,202.26 / $1,202.26 / $1,202.26	Facility		$1,202.26	$1,202.26	$1,202.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $512.86 / $1,737.80	Professional		$199.53	$512.86	$1,737.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $575.44 / $912.01	Professional		$257.04	$575.44	$912.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $5,248.07 / $8,317.64	Facility		$3,311.31	$5,248.07	$8,317.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $562.34 / $1,288.25	Professional		$134.90	$562.34	$1,288.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,511.89 / $5,128.61 / $8,511.38	Facility		$2,511.89	$5,128.61	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $316.23 / $1,148.15	Professional		$97.72	$316.23	$1,148.15