Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $760.50 / $760.50 / $1,192.30	Facility		$760.50	$760.50	$1,192.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $694.56 / $794.42 / $1,638.04	Professional		$694.56	$794.42	$1,638.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $826.80 / $826.80 / $826.80	Professional		$826.80	$826.80	$826.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3,618.75 / $3,954.60 / $6,027.75	Professional		$3,618.75	$3,954.60	$6,027.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $696.78 / $1,206.82 / $2,067.00	Professional		$696.78	$1,206.82	$2,067.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $971.94 / $1,273.40 / $3,401.79	Professional		$971.94	$1,273.40	$3,401.79
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $858.19 / $1,110.92 / $2,040.63	Professional		$858.19	$1,110.92	$2,040.63
United Facility/Professional Professional Modifier Low / Median / High Price $756.67 / $1,169.10 / $1,925.99	Professional		$756.67	$1,169.10	$1,925.99