Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.21 / $4,265.80 / $8,709.64	Facility		$186.21	$4,265.80	$8,709.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $204.17 / $724.44	Professional		$107.15	$204.17	$724.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $123.03 / $162.18	Professional		$91.20	$123.03	$162.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $151.36 / $204.17	Professional		$102.33	$151.36	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $186.21 / $380.19	Professional		$107.15	$186.21	$380.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $165.96 / $257.04	Professional		$36.31	$165.96	$257.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $3,548.13 / $7,585.78	Facility		$645.65	$3,548.13	$7,585.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $190.55 / $323.59	Professional		$112.20	$190.55	$323.59
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,801.89 / $7,762.47	Facility		$1,862.09	$3,801.89	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $131.83 / $302.00	Professional		$77.62	$131.83	$302.00