Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.89 / $4,516.00 / $9,299.00	Facility		$583.89	$4,516.00	$9,299.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $456.02 / $644.67 / $1,102.00	Professional		$456.02	$644.67	$1,102.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $433.70 / $433.70 / $433.70	Professional		$433.70	$433.70	$433.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $446.65 / $446.65 / $446.65	Professional		$446.65	$446.65	$446.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $507.01 / $838.89 / $1,781.81	Professional		$507.01	$838.89	$1,781.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $619.16 / $947.06 / $1,092.10	Professional		$619.16	$947.06	$1,092.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,365.87 / $7,138.04 / $15,043.78	Facility		$6,365.87	$7,138.04	$15,043.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $433.10 / $770.09 / $1,539.53	Professional		$433.10	$770.09	$1,539.53
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 $566.66 / $941.48 / $2,437.92	Professional		$566.66	$941.48	$2,437.92