Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,830.00 / $5,311.06 / $8,504.00	Facility		$1,830.00	$5,311.06	$8,504.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,697.57 / $6,868.00 / $11,454.00	Facility	50	$4,697.57	$6,868.00	$11,454.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.92 / $575.19 / $1,121.94	Professional		$456.92	$575.19	$1,121.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $711.83 / $805.68 / $1,138.93	Professional		$711.83	$805.68	$1,138.93
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3,061.60 / $8,509.74 / $15,402.37	Facility		$3,061.60	$8,509.74	$15,402.37
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $972.16 / $4,007.70 / $4,275.00	Professional		$972.16	$4,007.70	$4,275.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $488.07 / $934.75 / $1,888.65	Professional		$488.07	$934.75	$1,888.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $790.19 / $1,032.15 / $1,241.52	Professional		$790.19	$1,032.15	$1,241.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,966.36 / $10,584.91 / $17,754.61	Facility		$8,966.36	$10,584.91	$17,754.61
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $537.91 / $689.78 / $1,286.27	Professional		$537.91	$689.78	$1,286.27
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $353.57 / $632.83 / $1,413.81	Professional		$353.57	$632.83	$1,413.81