Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $446.68 / $4,786.30 / $10,000.00	Facility		$446.68	$4,786.30	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $457.09 / $1,000.00	Professional		$229.09	$457.09	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $194.98 / $891.25	Professional		$177.83	$194.98	$891.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $575.44 / $1,318.26	Professional		$575.44	$575.44	$1,318.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.19 / $2,754.23 / $3,630.78	Facility		$380.19	$2,754.23	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $478.63 / $1,000.00	Professional		$251.19	$478.63	$1,000.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $575.44 / $1,023.29	Professional		$194.98	$575.44	$1,023.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,454.71 / $3,801.89 / $6,025.60	Facility		$2,454.71	$3,801.89	$6,025.60
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $467.74 / $977.24	Professional		$181.97	$467.74	$977.24
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,011.87 / $8,511.38	Facility		$2,137.96	$5,011.87	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $389.05 / $812.83	Professional		$186.21	$389.05	$812.83