Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $160.15 / $2,286.00 / $7,113.89	Facility		$160.15	$2,286.00	$7,113.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.68 / $188.04 / $589.98	Professional		$134.68	$188.04	$589.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $102.91 / $102.91	Professional		$102.91	$102.91	$102.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $126.83 / $126.83 / $178.70	Professional		$126.83	$126.83	$178.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.16 / $217.89 / $442.17	Professional		$115.16	$217.89	$442.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $235.67 / $319.45 / $359.09	Professional		$235.67	$319.45	$359.09
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,939.13 / $3,939.13 / $3,939.13	Facility		$3,939.13	$3,939.13	$3,939.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.26 / $234.83 / $326.88	Professional		$153.26	$234.83	$326.88
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $119.38 / $219.47 / $427.03	Professional		$119.38	$219.47	$427.03