Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.80 / $4,365.16 / $9,120.11	Facility		$213.80	$4,365.16	$9,120.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $229.09 / $741.31	Professional		$128.82	$229.09	$741.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $120.23 / $204.17	Professional		$85.11	$120.23	$204.17
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $114.82	Professional		$114.82	$114.82	$114.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $213.80 / $426.58	Professional		$125.89	$213.80	$426.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.78 / $302.00 / $338.84	Professional		$218.78	$302.00	$338.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $691.83 / $3,630.78 / $7,585.78	Facility		$691.83	$3,630.78	$7,585.78
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $218.78 / $380.19	Professional		$128.82	$218.78	$380.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,128.61 / $8,511.38	Facility		$2,570.40	$5,128.61	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $151.36 / $346.74	Professional		$91.20	$151.36	$346.74