Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $549.54 / $1,513.56	Facility		$151.36	$549.54	$1,513.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $575.44	Professional		$416.87	$416.87	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Professional		$177.83	$177.83	$177.83
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $338.84 / $741.31 / $1,548.82	Facility		$338.84	$741.31	$1,548.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.88 / $12.88 / $316.23	Professional		$12.88	$12.88	$316.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $478.63 / $912.01 / $1,412.54	Facility		$478.63	$912.01	$1,412.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $549.54 / $912.01	Professional		$436.52	$549.54	$912.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $10,471.29 / $25,118.86	Facility		$138.04	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $416.87 / $416.87 / $416.87	Professional		$416.87	$416.87	$416.87
United Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $416.87 / $851.14	Facility		$194.98	$416.87	$851.14
United Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $251.19 / $457.09	Professional		$173.78	$251.19	$457.09