Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,279.00 / $5,429.00 / $9,784.00	Facility		$2,279.00	$5,429.00	$9,784.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,597.95 / $3,597.95 / $5,461.00	Facility	50	$3,597.95	$3,597.95	$5,461.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $524.34 / $593.12 / $1,159.63	Professional		$524.34	$593.12	$1,159.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $926.53 / $926.53 / $926.53	Professional		$926.53	$926.53	$926.53
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,462.50 / $8,800.00 / $16,449.00	Facility		$4,462.50	$8,800.00	$16,449.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $599.97 / $900.00 / $1,882.42	Professional		$599.97	$900.00	$1,882.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $554.14 / $827.65 / $1,750.75	Professional		$554.14	$827.65	$1,750.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $499.08 / $869.96 / $876.25	Professional		$499.08	$869.96	$876.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,365.87 / $7,138.04 / $16,020.69	Facility		$6,365.87	$7,138.04	$16,020.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $491.18 / $706.67 / $1,350.76	Professional		$491.18	$706.67	$1,350.76
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 $458.32 / $743.24 / $1,695.93	Professional		$458.32	$743.24	$1,695.93