Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $660.69 / $5,495.41 / $10,715.19	Facility		$660.69	$5,495.41	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $562.34 / $5,011.87	Professional		$269.15	$562.34	$5,011.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $257.04 / $3,467.37	Professional		$223.87	$257.04	$3,467.37
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $1,819.70 / $1,819.70	Facility		$1,819.70	$1,819.70	$1,819.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $794.33 / $794.33	Professional		$794.33	$794.33	$794.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $457.09 / $2,754.23 / $3,630.78	Facility		$457.09	$2,754.23	$3,630.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $660.69 / $5,011.87	Professional		$309.03	$660.69	$5,011.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2,398.83 / $3,467.37 / $5,495.41	Professional		$2,398.83	$3,467.37	$5,495.41
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 $213.80 / $912.01 / $4,265.80	Professional		$213.80	$912.01	$4,265.80
United Facility/Professional Facility Modifier Low / Median / High Price $2,089.30 / $5,011.87 / $8,511.38	Facility		$2,089.30	$5,011.87	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $562.34 / $3,981.07	Professional		$223.87	$562.34	$3,981.07