Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $596.24 / $2,626.00 / $7,684.00	Facility		$596.24	$2,626.00	$7,684.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $188.78 / $286.35 / $764.43	Professional		$188.78	$286.35	$764.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.97 / $199.94 / $433.47	Professional		$89.97	$199.94	$433.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,104.85 / $8,013.00 / $14,789.70	Facility		$2,104.85	$8,013.00	$14,789.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $103.88 / $104.18 / $1,193.50	Professional		$103.88	$104.18	$1,193.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.00 / $3,438.00 / $3,438.00	Facility		$3,438.00	$3,438.00	$3,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $200.78 / $442.02 / $1,036.05	Professional		$200.78	$442.02	$1,036.05
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $207.19 / $355.30 / $834.60	Professional		$207.19	$355.30	$834.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,844.73 / $4,611.96 / $9,366.62	Facility		$3,844.73	$4,611.96	$9,366.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.17 / $435.54 / $778.07	Professional		$167.17	$435.54	$778.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,941.00 / $4,700.00 / $7,579.00	Facility		$1,941.00	$4,700.00	$7,579.00
United Facility/Professional Professional Modifier Low / Median / High Price $180.48 / $477.34 / $1,066.44	Professional		$180.48	$477.34	$1,066.44