Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $309.03 / $6,025.60 / $11,481.54	Facility		$309.03	$6,025.60	$11,481.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $120.23 / $512.86	Professional		$44.67	$120.23	$512.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $104.71 / $120.23	Professional		$95.50	$104.71	$120.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $107.15 / $141.25	Professional		$70.79	$107.15	$141.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $100.00 / $251.19	Professional		$50.12	$100.00	$251.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $85.11 / $169.82	Professional		$30.20	$85.11	$169.82
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 $40.74 / $112.20 / $194.98	Professional		$40.74	$112.20	$194.98
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 $28.84 / $69.18 / $169.82	Professional		$28.84	$69.18	$169.82