Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.54 / $5,580.32 / $11,193.00	Facility		$597.54	$5,580.32	$11,193.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $329.48 / $459.37 / $615.78	Facility	54	$329.48	$459.37	$615.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.30 / $570.90 / $821.91	Professional		$416.30	$570.90	$821.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $518.00 / $518.00 / $726.13	Professional		$518.00	$518.00	$726.13
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $520.23 / $520.23 / $520.23	Professional		$520.23	$520.23	$520.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $387.57 / $675.42 / $1,544.00	Professional		$387.57	$675.42	$1,544.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $598.48 / $789.85 / $1,858.03	Professional		$598.48	$789.85	$1,858.03
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,577.22 / $5,198.14 / $10,816.89	Facility		$4,577.22	$5,198.14	$10,816.89
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $394.06 / $657.07 / $971.38	Professional		$394.06	$657.07	$971.38
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $7,250.00 / $10,536.00	Facility		$3,885.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $472.49 / $730.36 / $1,312.19	Professional		$472.49	$730.36	$1,312.19