Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,174.90 / $6,456.54 / $10,715.19	Facility		$1,174.90	$6,456.54	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $758.58 / $2,041.74	Professional		$467.74	$758.58	$2,041.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $478.63 / $478.63 / $478.63	Professional		$478.63	$478.63	$478.63
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $489.78 / $489.78	Professional		$489.78	$489.78	$489.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $512.86 / $891.25 / $1,995.26	Professional		$512.86	$891.25	$1,995.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $758.58 / $1,071.52 / $1,479.11	Professional		$758.58	$1,071.52	$1,479.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14,791.08 / $22,908.68 / $36,307.81	Facility		$14,791.08	$22,908.68	$36,307.81
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $912.01 / $2,630.27	Professional		$426.58	$912.01	$2,630.27
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,762.47 / $15,135.61	Facility		$3,630.78	$7,762.47	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $741.31 / $1,737.80	Professional		$436.52	$741.31	$1,737.80