Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $8,128.31 / $13,489.63	Facility		$2,238.72	$8,128.31	$13,489.63
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $8,128.31 / $8,511.38 / $16,982.44	Facility	50	$8,128.31	$8,511.38	$16,982.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $575.44 / $870.96 / $2,398.83	Professional		$575.44	$870.96	$2,398.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $501.19 / $575.44 / $2,570.40	Professional		$501.19	$575.44	$2,570.40
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $9,120.11 / $9,120.11 / $9,120.11	Facility		$9,120.11	$9,120.11	$9,120.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $549.54 / $933.25 / $2,290.87	Professional		$549.54	$933.25	$2,290.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $794.33 / $977.24 / $1,445.44	Professional		$794.33	$977.24	$1,445.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,760.83 / $12,882.50 / $17,378.01	Facility		$6,760.83	$12,882.50	$17,378.01
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $851.14 / $1,737.80	Professional		$467.74	$851.14	$1,737.80
United Facility/Professional Facility Modifier Low / Median / High Price $4,786.30 / $9,772.37 / $25,118.86	Facility		$4,786.30	$9,772.37	$25,118.86
United Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $691.83 / $1,445.44	Professional		$436.52	$691.83	$1,445.44