Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $736.78 / $5,644.00 / $9,842.00	Facility		$736.78	$5,644.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.44 / $667.00 / $1,356.69	Professional		$483.44	$667.00	$1,356.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $481.79 / $481.79 / $481.79	Professional		$481.79	$481.79	$481.79
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $497.02 / $497.02 / $497.02	Professional		$497.02	$497.02	$497.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $563.04 / $976.34 / $2,050.34	Professional		$563.04	$976.34	$2,050.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,000.08 / $1,358.59 / $1,399.28	Professional		$1,000.08	$1,358.59	$1,399.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,365.87 / $7,888.29 / $17,105.68	Facility		$6,365.87	$7,888.29	$17,105.68
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $484.20 / $913.38 / $1,644.48	Professional		$484.20	$913.38	$1,644.48
United Facility/Professional Facility Modifier Low / Median / High Price $5,378.00 / $8,305.00 / $14,121.00	Facility		$5,378.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $633.23 / $1,070.33 / $2,618.80	Professional		$633.23	$1,070.33	$2,618.80