Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $3,801.89 / $7,413.10	Facility		$1,122.02	$3,801.89	$7,413.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $204.17 / $436.52	Professional		$85.11	$204.17	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $102.33	Professional		$91.20	$91.20	$102.33
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,230.27 / $1,230.27 / $1,230.27	Facility		$1,230.27	$1,230.27	$1,230.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $269.15 / $630.96	Professional		$112.20	$269.15	$630.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $154.88 / $281.84 / $446.68	Professional		$154.88	$281.84	$446.68
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 $81.28 / $245.47 / $467.74	Professional		$81.28	$245.47	$467.74
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 $56.23 / $162.18 / $446.68	Professional		$56.23	$162.18	$446.68