Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,294.14 / $4,294.16 / $6,867.13	Facility		$4,294.14	$4,294.16	$6,867.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4,041.56 / $4,193.12 / $4,294.16	Professional		$4,041.56	$4,193.12	$4,294.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,500.00 / $2,500.00 / $2,500.00	Professional		$2,500.00	$2,500.00	$2,500.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $5,886.54 / $5,886.54 / $5,886.54	Facility		$5,886.54	$5,886.54	$5,886.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,976.07 / $4,294.16 / $5,145.50	Facility		$3,976.07	$4,294.16	$5,145.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,294.16	Professional		$4,294.16	$4,294.16	$4,294.16
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,718.30 / $3,779.01 / $13,785.00	Facility		$1,718.30	$3,779.01	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,294.16 / $4,294.16 / $4,785.10	Professional		$4,294.16	$4,294.16	$4,785.10
United Facility/Professional Professional Modifier Low / Median / High Price $4,209.96 / $4,209.96 / $5,051.95	Professional		$4,209.96	$4,209.96	$5,051.95