Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.91 / $6,025.60 / $11,748.98	Facility		$147.91	$6,025.60	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $107.15 / $363.08	Professional		$48.98	$107.15	$363.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $109.65 / $144.54	Professional		$66.07	$109.65	$144.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $112.20 / $229.09	Professional		$56.23	$112.20	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $64.57 / $162.18	Professional		$8.91	$64.57	$162.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $1,000.00	Facility		$398.11	$645.65	$1,000.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $112.20 / $186.21	Professional		$43.65	$112.20	$186.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $69.18 / $162.18	Professional		$29.51	$69.18	$162.18