Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $244.04 / $4,174.00 / $8,419.00	Facility		$244.04	$4,174.00	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.95 / $770.30 / $1,275.32	Professional		$198.95	$770.30	$1,275.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Professional		$190.55	$190.55	$190.55
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,544.08 / $4,544.08 / $4,544.08	Facility		$4,544.08	$4,544.08	$4,544.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.43 / $605.64 / $1,988.83	Professional		$218.43	$605.64	$1,988.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $828.18 / $1,122.64 / $1,486.84	Professional		$828.18	$1,122.64	$1,486.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,844.73 / $4,611.96 / $10,000.99	Facility		$3,844.73	$4,611.96	$10,000.99
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $191.55 / $926.09 / $1,700.72	Professional		$191.55	$926.09	$1,700.72
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 $615.45 / $1,077.96 / $2,323.25	Professional		$615.45	$1,077.96	$2,323.25