Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $5,754.40 / $10,471.29	Facility		$2,187.76	$5,754.40	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $741.31 / $1,949.84	Professional		$199.53	$741.31	$1,949.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $173.78 / $186.21	Professional		$158.49	$173.78	$186.21
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $4,570.88 / $4,570.88 / $4,570.88	Facility		$4,570.88	$4,570.88	$4,570.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Facility		$346.74	$346.74	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $562.34 / $1,862.09	Professional		$218.78	$562.34	$1,862.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $1,023.29 / $1,621.81	Professional		$776.25	$1,023.29	$1,621.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,715.35 / $5,888.44 / $9,549.93	Facility		$3,715.35	$5,888.44	$9,549.93
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $870.96 / $2,137.96	Professional		$165.96	$870.96	$2,137.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,128.61 / $8,511.38	Facility		$2,137.96	$5,128.61	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $549.54 / $1,659.59	Professional		$162.18	$549.54	$1,659.59