Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $409.72 / $4,516.00 / $9,284.00	Facility		$409.72	$4,516.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $176.27 / $405.14 / $630.41	Professional		$176.27	$405.14	$630.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.40 / $162.81 / $262.45	Professional		$81.40	$162.81	$262.45
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5,740.90 / $5,740.90 / $5,740.90	Facility		$5,740.90	$5,740.90	$5,740.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $82.34 / $82.34 / $82.34	Professional		$82.34	$82.34	$82.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.44 / $524.60 / $1,255.42	Professional		$204.44	$524.60	$1,255.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $266.30 / $446.60 / $455.65	Professional		$266.30	$446.60	$455.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,138.04 / $7,597.35 / $15,043.78	Facility		$7,138.04	$7,597.35	$15,043.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $574.89 / $1,133.80	Professional		$316.23	$574.89	$1,133.80
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 $272.24 / $641.46 / $1,544.80	Professional		$272.24	$641.46	$1,544.80