Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $639.29 / $5,982.00 / $10,871.00	Facility		$639.29	$5,982.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $523.98 / $585.15 / $958.77	Professional		$523.98	$585.15	$958.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $386.41 / $515.21 / $586.09	Professional		$386.41	$515.21	$586.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $557.57 / $557.57 / $557.57	Professional		$557.57	$557.57	$557.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $576.36 / $848.06 / $1,725.35	Professional		$576.36	$848.06	$1,725.35
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $509.18 / $884.91 / $900.48	Professional		$509.18	$884.91	$900.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,576.03 / $15,043.78 / $17,105.68	Facility		$6,576.03	$15,043.78	$17,105.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $474.97 / $715.25 / $1,383.71	Professional		$474.97	$715.25	$1,383.71
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 $484.50 / $735.06 / $1,715.48	Professional		$484.50	$735.06	$1,715.48