Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,380.38 / $3,715.35	Facility		$977.24	$1,380.38	$3,715.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $724.44 / $776.25 / $1,148.15	Professional		$724.44	$776.25	$1,148.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $870.96	Professional		$741.31	$741.31	$870.96
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,737.80 / $1,737.80 / $1,737.80	Facility		$1,737.80	$1,737.80	$1,737.80
Cigna Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $851.14 / $1,122.02	Facility		$741.31	$851.14	$1,122.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $776.25 / $776.25 / $776.25	Professional		$776.25	$776.25	$776.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $812.83 / $1,412.54 / $1,412.54	Professional		$812.83	$1,412.54	$1,412.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,288.25 / $9,549.93 / $23,988.33	Facility		$1,288.25	$9,549.93	$23,988.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $707.95 / $741.31	Professional		$707.95	$707.95	$741.31
United Facility/Professional Facility Modifier Low / Median / High Price $537.03 / $851.14 / $1,174.90	Facility		$537.03	$851.14	$1,174.90
United Facility/Professional Professional Modifier Low / Median / High Price $707.95 / $776.25 / $891.25	Professional		$707.95	$776.25	$891.25