Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.59 / $2,443.63 / $6,872.00	Facility		$140.59	$2,443.63	$6,872.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.90 / $165.17 / $759.27	Professional		$114.90	$165.17	$759.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.21 / $92.21 / $195.26	Professional		$92.21	$92.21	$195.26
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,178.03 / $2,178.03 / $2,178.03	Facility		$2,178.03	$2,178.03	$2,178.03
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $140.25 / $251.42 / $332.37	Professional		$140.25	$251.42	$332.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.28 / $195.03 / $390.53	Professional		$101.28	$195.03	$390.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.20 / $194.25 / $317.01	Professional		$43.20	$194.25	$317.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,547.88 / $1,647.48 / $3,709.35	Facility		$1,547.88	$1,647.48	$3,709.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.56 / $207.22 / $295.26	Professional		$139.56	$207.22	$295.26
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $105.31 / $190.18 / $376.27	Professional		$105.31	$190.18	$376.27