Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,584.89 / $5,370.32 / $9,120.11	Facility		$1,584.89	$5,370.32	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $524.81 / $1,584.89	Professional		$158.49	$524.81	$1,584.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $218.78	Professional		$218.78	$218.78	$218.78
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $9,772.37 / $9,772.37 / $9,772.37	Facility		$9,772.37	$9,772.37	$9,772.37
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
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 $218.78 / $691.83 / $2,630.27	Professional		$218.78	$691.83	$2,630.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $870.96 / $1,380.38	Professional		$281.84	$870.96	$1,380.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,388.44 / $5,248.07 / $8,317.64	Facility		$3,388.44	$5,248.07	$8,317.64
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $851.14 / $1,949.84	Professional		$147.91	$851.14	$1,949.84
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 $104.71 / $426.58 / $1,737.80	Professional		$104.71	$426.58	$1,737.80