Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,216.85 / $4,118.00 / $7,918.00	Facility		$1,216.85	$4,118.00	$7,918.00
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $1,223.75 / $5,644.00 / $7,458.00	Facility	50	$1,223.75	$5,644.00	$7,458.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $347.75 / $428.81 / $750.39	Professional		$347.75	$428.81	$750.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $270.42 / $270.42 / $270.42	Professional		$270.42	$270.42	$270.42
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,337.50 / $7,338.11 / $11,733.00	Facility		$2,337.50	$7,338.11	$11,733.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $314.10 / $314.10 / $314.10	Professional		$314.10	$314.10	$314.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.31 / $675.00 / $1,269.60	Professional		$359.31	$675.00	$1,269.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $529.79 / $695.23 / $833.65	Professional		$529.79	$695.23	$833.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,424.29 / $9,309.76 / $18,907.56	Facility		$8,424.29	$9,309.76	$18,907.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.20 / $461.91 / $866.34	Professional		$360.20	$461.91	$866.34
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $325.68 / $514.16 / $946.75	Professional		$325.68	$514.16	$946.75