Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $357.60 / $4,990.00 / $9,784.00	Facility		$357.60	$4,990.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $300.33 / $1,024.10 / $1,609.76	Professional		$300.33	$1,024.10	$1,609.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $889.78 / $889.78 / $889.78	Professional		$889.78	$889.78	$889.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,239.96 / $1,239.96 / $1,239.96	Professional		$1,239.96	$1,239.96	$1,239.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.56 / $1,009.89 / $3,609.45	Professional		$329.56	$1,009.89	$3,609.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $504.00 / $1,516.82 / $1,758.00	Professional		$504.00	$1,516.82	$1,758.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,379.20 / $7,013.04 / $14,593.52	Facility		$6,379.20	$7,013.04	$14,593.52
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $223.71 / $977.11 / $1,854.84	Professional		$223.71	$977.11	$1,854.84
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 $912.49 / $1,282.64 / $3,326.12	Professional		$912.49	$1,282.64	$3,326.12