Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $6,309.57 / $10,715.19	Facility		$1,258.93	$6,309.57	$10,715.19
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $3,467.37 / $6,309.57 / $13,803.84	Facility	50	$3,467.37	$6,309.57	$13,803.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $524.81 / $1,047.13	Professional		$302.00	$524.81	$1,047.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $245.47 / $354.81	Professional		$177.83	$245.47	$354.81
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $245.47 / $245.47 / $245.47	Professional		$245.47	$245.47	$245.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $707.95 / $1,412.54	Professional		$295.12	$707.95	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $645.65 / $794.33	Professional		$467.74	$645.65	$794.33
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $6,918.31 / $14,454.40	Facility		$1,258.93	$6,918.31	$14,454.40
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $467.74 / $1,348.96	Professional		$218.78	$467.74	$1,348.96
United Facility/Professional Facility Modifier Low / Median / High Price $3,630.78 / $7,585.78 / $15,135.61	Facility		$3,630.78	$7,585.78	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $467.74 / $1,174.90	Professional		$257.04	$467.74	$1,174.90