Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $5,754.40 / $10,471.29	Facility		$776.25	$5,754.40	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $331.13 / $1,513.56	Professional		$72.44	$331.13	$1,513.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $47.86 / $95.50	Professional		$47.86	$47.86	$95.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,238.72 / $2,238.72 / $2,238.72	Facility		$2,238.72	$2,238.72	$2,238.72
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $199.53 / $912.01	Professional		$85.11	$199.53	$912.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $501.19 / $575.44	Professional		$363.08	$501.19	$575.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $3,548.13	Facility		$1,445.44	$2,290.87	$3,548.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $416.87 / $891.25	Professional		$69.18	$416.87	$891.25
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $7,762.47	Facility		$1,862.09	$3,630.78	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $186.21 / $794.33	Professional		$47.86	$186.21	$794.33