Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $4,570.88 / $10,964.78	Facility		$323.59	$4,570.88	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $89.13 / $331.13	Professional		$33.11	$89.13	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $64.57 / $102.33	Professional		$40.74	$64.57	$102.33
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $61.66 / $102.33	Professional		$45.71	$61.66	$102.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $74.13 / $208.93	Professional		$34.67	$74.13	$208.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $70.79 / $144.54	Professional		$23.99	$70.79	$144.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $1,047.13	Facility		$398.11	$645.65	$1,047.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $95.50 / $165.96	Professional		$31.62	$95.50	$165.96
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 $21.88 / $57.54 / $138.04	Professional		$21.88	$57.54	$138.04