Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.04 / $6,025.60 / $11,748.98	Facility		$257.04	$6,025.60	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.54 / $125.89 / $645.65	Professional		$57.54	$125.89	$645.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $134.90 / $134.90	Professional		$109.65	$134.90	$134.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $66.07 / $162.18 / $204.17	Professional		$66.07	$162.18	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $123.03 / $288.40	Professional		$58.88	$123.03	$288.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $102.33 / $190.55	Professional		$36.31	$102.33	$190.55
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 $52.48 / $134.90 / $229.09	Professional		$52.48	$134.90	$229.09
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 $36.31 / $85.11 / $199.53	Professional		$36.31	$85.11	$199.53