Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $246.81 / $3,577.57 / $8,037.47	Facility		$246.81	$3,577.57	$8,037.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.77 / $272.08 / $1,177.00	Professional		$212.77	$272.08	$1,177.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $292.88 / $292.88 / $292.88	Professional		$292.88	$292.88	$292.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $178.09 / $178.09 / $178.09	Professional		$178.09	$178.09	$178.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.88 / $310.37 / $594.41	Professional		$161.88	$310.37	$594.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $336.18 / $455.71 / $507.88	Professional		$336.18	$455.71	$507.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,178.88 / $3,610.11 / $4,478.67	Facility		$3,178.88	$3,610.11	$4,478.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.60 / $335.79 / $484.06	Professional		$231.60	$335.79	$484.06
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 $179.63 / $310.70 / $662.71	Professional		$179.63	$310.70	$662.71