Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,951.21 / $6,606.93 / $10,964.78	Facility		$2,951.21	$6,606.93	$10,964.78
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,365.16 / $7,413.10 / $14,791.08	Facility	50	$4,365.16	$7,413.10	$14,791.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $794.33 / $2,238.72	Professional		$489.78	$794.33	$2,238.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.33 / $524.81 / $954.99	Professional		$93.33	$524.81	$954.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $1,412.54 / $1,412.54	Facility		$1,412.54	$1,412.54	$1,412.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $645.65 / $1,513.56	Professional		$645.65	$645.65	$1,513.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $891.25 / $891.25	Facility		$891.25	$891.25	$891.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $645.65 / $1,288.25	Professional		$426.58	$645.65	$1,288.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $724.44 / $1,288.25	Professional		$549.54	$724.44	$1,288.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,244.36 / $11,748.98 / $17,782.79	Facility		$7,244.36	$11,748.98	$17,782.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $426.58 / $602.56 / $1,258.93	Professional		$426.58	$602.56	$1,258.93
United Facility/Professional Facility Modifier Low / Median / High Price $3,311.31 / $7,413.10 / $15,135.61	Facility		$3,311.31	$7,413.10	$15,135.61
United Facility/Professional Professional Modifier Low / Median / High Price $354.81 / $537.03 / $1,071.52	Professional		$354.81	$537.03	$1,071.52