Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,533.79 / $5,325.00 / $8,910.67	Facility		$1,533.79	$5,325.00	$8,910.67
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $72.38 / $112.24 / $278.89	Facility	53	$72.38	$112.24	$278.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $331.93 / $920.32 / $1,395.93	Professional		$331.93	$920.32	$1,395.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.70 / $264.70 / $264.70	Professional		$264.70	$264.70	$264.70
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,645.50 / $6,065.95 / $11,055.20	Facility		$2,645.50	$6,065.95	$11,055.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $292.81 / $354.34 / $4,770.22	Professional		$292.81	$354.34	$4,770.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $340.00 / $888.34 / $2,871.22	Professional		$340.00	$888.34	$2,871.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $604.87 / $1,493.89 / $1,730.54	Professional		$604.87	$1,493.89	$1,730.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,379.20 / $6,379.20 / $7,652.20	Facility		$6,379.20	$6,379.20	$7,652.20
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.48 / $987.63 / $1,845.61	Professional		$274.48	$987.63	$1,845.61
United Facility/Professional Facility Modifier Low / Median / High Price $3,321.00 / $6,972.00 / $11,243.00	Facility		$3,321.00	$6,972.00	$11,243.00
United Facility/Professional Professional Modifier Low / Median / High Price $899.88 / $1,273.90 / $3,338.10	Professional		$899.88	$1,273.90	$3,338.10