Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.94 / $5,009.00 / $9,842.00	Facility		$458.94	$5,009.00	$9,842.00
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $229.47 / $229.47 / $270.33	Facility	52	$229.47	$229.47	$270.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.51 / $437.17 / $708.41	Professional		$384.51	$437.17	$708.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.31 / $379.45 / $396.62	Professional		$198.31	$379.45	$396.62
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $412.91 / $412.91 / $412.91	Professional		$412.91	$412.91	$412.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.19 / $631.38 / $1,326.60	Professional		$423.19	$631.38	$1,326.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $385.01 / $661.69 / $662.71	Professional		$385.01	$661.69	$662.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,365.87 / $7,229.42 / $15,043.78	Facility		$6,365.87	$7,229.42	$15,043.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $351.93 / $524.17 / $1,077.48	Professional		$351.93	$524.17	$1,077.48
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 $356.94 / $551.57 / $1,243.95	Professional		$356.94	$551.57	$1,243.95