Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $502.73 / $4,174.00 / $9,860.00	Facility		$502.73	$4,174.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $308.39 / $555.44 / $1,115.00	Professional		$308.39	$555.44	$1,115.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $560.41 / $560.41 / $560.41	Professional		$560.41	$560.41	$560.41
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $327.12 / $500.80 / $2,330.85	Professional		$327.12	$500.80	$2,330.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $243.56 / $614.03 / $1,784.34	Professional		$243.56	$614.03	$1,784.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $192.00 / $529.00 / $878.75	Professional		$192.00	$529.00	$878.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,222.35 / $1,516.43 / $2,543.59	Facility		$1,222.35	$1,516.43	$2,543.59
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $249.48 / $385.38 / $1,541.12	Professional		$249.48	$385.38	$1,541.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,284.00 / $3,961.00 / $10,536.00	Facility		$2,284.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.27 / $637.96 / $1,256.16	Professional		$279.27	$637.96	$1,256.16