Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $466.07 / $5,009.00 / $9,284.00	Facility		$466.07	$5,009.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $352.43 / $390.97 / $632.28	Professional		$352.43	$390.97	$632.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $405.28 / $405.28 / $405.28	Professional		$405.28	$405.28	$405.28
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5,759.10 / $5,759.10 / $5,759.10	Facility		$5,759.10	$5,759.10	$5,759.10
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $489.50 / $489.50 / $489.50	Professional		$489.50	$489.50	$489.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.45 / $575.41 / $1,188.84	Professional		$355.45	$575.41	$1,188.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $431.00 / $587.66 / $696.90	Professional		$431.00	$587.66	$696.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,684.77 / $8,075.85 / $18,183.06	Facility		$7,684.77	$8,075.85	$18,183.06
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $305.61 / $422.99 / $773.57	Professional		$305.61	$422.99	$773.57
United Facility/Professional Facility Modifier Low / Median / High Price $2,150.00 / $4,788.00 / $7,579.00	Facility		$2,150.00	$4,788.00	$7,579.00
United Facility/Professional Professional Modifier Low / Median / High Price $245.56 / $405.28 / $849.53	Professional		$245.56	$405.28	$849.53