Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,180.50 / $1,321.08 / $1,321.08	Facility		$1,180.50	$1,321.08	$1,321.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $935.79 / $1,155.27 / $1,353.70	Professional		$935.79	$1,155.27	$1,353.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,025.46 / $1,025.46 / $1,025.46	Professional		$1,025.46	$1,025.46	$1,025.46
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,950.00 / $1,950.00 / $1,950.00	Facility		$1,950.00	$1,950.00	$1,950.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,105.85 / $2,105.85 / $2,529.09	Facility		$2,105.85	$2,105.85	$2,529.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $814.21 / $1,524.63 / $4,031.22	Professional		$814.21	$1,524.63	$4,031.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,375.92 / $1,774.94 / $2,305.80	Professional		$1,375.92	$1,774.94	$2,305.80
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,473.48 / $2,473.48 / $2,473.48	Facility		$2,473.48	$2,473.48	$2,473.48
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $828.75 / $1,105.00 / $1,918.75	Professional		$828.75	$1,105.00	$1,918.75
United Facility/Professional Professional Modifier Low / Median / High Price $844.42 / $1,250.00 / $2,317.53	Professional		$844.42	$1,250.00	$2,317.53