Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,412.16 / $5,188.52 / $9,784.00	Facility		$1,412.16	$5,188.52	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.04 / $657.42 / $1,361.55	Professional		$491.04	$657.42	$1,361.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $773.91 / $773.91 / $773.91	Professional		$773.91	$773.91	$773.91
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,702.26 / $5,628.49 / $8,013.00	Facility		$2,702.26	$5,628.49	$8,013.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $480.00 / $935.05 / $2,030.45	Professional		$480.00	$935.05	$2,030.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $777.31 / $1,068.74 / $1,250.88	Professional		$777.31	$1,068.74	$1,250.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,362.84 / $6,362.84 / $13,993.66	Facility		$6,362.84	$6,362.84	$13,993.66
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $526.94 / $692.00 / $1,140.83	Professional		$526.94	$692.00	$1,140.83
United Facility/Professional Facility Modifier Low / Median / High Price $2,879.00 / $5,864.00 / $10,105.00	Facility		$2,879.00	$5,864.00	$10,105.00
United Facility/Professional Professional Modifier Low / Median / High Price $491.54 / $679.50 / $1,393.40	Professional		$491.54	$679.50	$1,393.40