Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,021.50 / $11,803.58 / $22,063.00	Facility		$2,021.50	$11,803.58	$22,063.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,291.36 / $1,497.31 / $2,464.05	Professional		$1,291.36	$1,497.31	$2,464.05
Aetna Facility/Professional Professional Modifier AS Low / Median / High Price $199.32 / $199.32 / $199.32	Professional	AS	$199.32	$199.32	$199.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,561.22 / $1,561.22 / $1,561.22	Professional		$1,561.22	$1,561.22	$1,561.22
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11,210.65 / $11,210.65 / $11,210.65	Facility		$11,210.65	$11,210.65	$11,210.65
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6,330.40 / $6,330.40 / $6,330.40	Professional		$6,330.40	$6,330.40	$6,330.40
AmeriHealth Facility/Professional Professional Modifier AS Low / Median / High Price $316.52 / $316.52 / $316.52	Professional	AS	$316.52	$316.52	$316.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14,449.00 / $14,449.00 / $15,090.00	Facility		$14,449.00	$14,449.00	$15,090.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,439.83 / $2,110.40 / $4,561.63	Professional		$1,439.83	$2,110.40	$4,561.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,328.22 / $2,263.77 / $2,303.13	Professional		$1,328.22	$2,263.77	$2,303.13
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,144.00 / $40,457.49 / $50,833.85	Facility		$10,144.00	$40,457.49	$50,833.85
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,304.56 / $1,798.83 / $3,775.96	Professional		$1,304.56	$1,798.83	$3,775.96
United Facility/Professional Facility Modifier Low / Median / High Price $6,066.00 / $13,781.00 / $27,214.00	Facility		$6,066.00	$13,781.00	$27,214.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,212.76 / $1,781.72 / $5,348.20	Professional		$1,212.76	$1,781.72	$5,348.20