Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,466.84 / $8,912.51	Facility		$1,258.93	$4,466.84	$8,912.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.84 / $630.96 / $2,238.72	Professional		$281.84	$630.96	$2,238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $275.42 / $331.13	Professional		$138.04	$275.42	$331.13
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10,964.78 / $10,964.78 / $10,964.78	Facility		$10,964.78	$10,964.78	$10,964.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $446.68 / $1,698.24	Professional		$162.18	$446.68	$1,698.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $630.96 / $1,479.11	Professional		$302.00	$630.96	$1,479.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $794.33 / $1,096.48	Professional		$549.54	$794.33	$1,096.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,235.94 / $5,128.61 / $8,128.31	Facility		$3,235.94	$5,128.61	$8,128.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $588.84 / $1,698.24	Professional		$263.03	$588.84	$1,698.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $8,511.38	Facility		$2,570.40	$5,128.61	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $512.86 / $1,174.90	Professional		$245.47	$512.86	$1,174.90