Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $117.18 / $4,150.22 / $7,918.00	Facility		$117.18	$4,150.22	$7,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.92 / $133.90 / $346.08	Professional		$93.92	$133.90	$346.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.28 / $74.28 / $74.28	Professional		$74.28	$74.28	$74.28
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $10,939.20 / $10,939.20 / $10,939.20	Facility		$10,939.20	$10,939.20	$10,939.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $90.65 / $90.65 / $254.95	Professional		$90.65	$90.65	$254.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.07 / $153.31 / $318.20	Professional		$82.07	$153.31	$318.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $164.52 / $223.02 / $254.26	Professional		$164.52	$223.02	$254.26
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $1,647.48 / $3,474.07	Facility		$1,426.00	$1,647.48	$3,474.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.08 / $161.47 / $241.97	Professional		$103.08	$161.47	$241.97
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 $90.00 / $157.62 / $306.85	Professional		$90.00	$157.62	$306.85