Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,164.34 / $3,206.00 / $7,224.46	Facility		$1,164.34	$3,206.00	$7,224.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $807.74 / $1,033.26 / $1,466.46	Professional		$807.74	$1,033.26	$1,466.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $832.85 / $832.85 / $832.85	Professional		$832.85	$832.85	$832.85
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5,989.08 / $5,989.08 / $5,989.08	Facility		$5,989.08	$5,989.08	$5,989.08
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $411.27 / $411.27 / $411.27	Professional		$411.27	$411.27	$411.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,843.46 / $1,843.46 / $2,213.96	Facility		$1,843.46	$1,843.46	$2,213.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $755.03 / $1,396.88 / $2,653.52	Professional		$755.03	$1,396.88	$2,653.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,151.30 / $1,499.34 / $1,951.75	Professional		$1,151.30	$1,499.34	$1,951.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,996.10 / $2,473.48 / $2,812.27	Facility		$1,996.10	$2,473.48	$2,812.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $726.61 / $895.30 / $1,618.01	Professional		$726.61	$895.30	$1,618.01
United Facility/Professional Professional Modifier Low / Median / High Price $781.93 / $1,078.67 / $2,101.37	Professional		$781.93	$1,078.67	$2,101.37