Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,047.13 / $5,754.40 / $10,471.29	Facility		$1,047.13	$5,754.40	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $316.23 / $1,023.29	Professional		$199.53	$316.23	$1,023.29
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $309.03 / $524.81 / $1,023.29	Professional	50	$309.03	$524.81	$1,023.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $218.78 / $229.09	Professional		$218.78	$218.78	$229.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $223.87 / $269.15	Professional		$218.78	$223.87	$269.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $316.23 / $741.31	Professional		$169.82	$316.23	$741.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $302.00 / $302.00 / $398.11	Professional		$302.00	$302.00	$398.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $1,513.56 / $2,818.38	Facility		$186.21	$1,513.56	$2,818.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $281.84 / $630.96	Professional		$169.82	$281.84	$630.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,819.70 / $3,630.78 / $7,762.47	Facility		$1,819.70	$3,630.78	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $275.42 / $478.63	Professional		$169.82	$275.42	$478.63