Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.19 / $4,294.00 / $9,383.00	Facility		$343.19	$4,294.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $279.91 / $518.27 / $3,558.19	Professional		$279.91	$518.27	$3,558.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $399.82 / $399.82 / $2,070.21	Professional		$399.82	$399.82	$2,070.21
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,819.43 / $1,819.43 / $1,819.43	Facility		$1,819.43	$1,819.43	$1,819.43
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $796.00 / $796.00 / $796.00	Professional		$796.00	$796.00	$796.00
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 $313.92 / $694.73 / $5,089.43	Professional		$313.92	$694.73	$5,089.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,372.69 / $3,261.56 / $4,312.22	Professional		$2,372.69	$3,261.56	$4,312.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,313.34 / $2,866.57 / $5,821.85	Facility		$2,313.34	$2,866.57	$5,821.85
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $247.31 / $839.18 / $4,248.13	Professional		$247.31	$839.18	$4,248.13
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $485.80 / $2,543.06 / $6,584.88	Professional		$485.80	$2,543.06	$6,584.88