Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $776.25 / $5,495.41 / $10,232.93	Facility		$776.25	$5,495.41	$10,232.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $194.98 / $676.08	Professional		$112.20	$194.98	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $144.54 / $194.98	Professional		$77.62	$144.54	$194.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $194.98 / $275.42	Professional		$138.04	$194.98	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $363.08	Professional		$107.15	$181.97	$363.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $181.97 / $251.19	Professional		$30.20	$181.97	$251.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $645.65 / $1,548.82 / $3,235.94	Facility		$645.65	$1,548.82	$3,235.94
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $186.21 / $309.03	Professional		$109.65	$186.21	$309.03
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,715.35 / $7,762.47	Facility		$1,862.09	$3,715.35	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $128.82 / $288.40	Professional		$75.86	$128.82	$288.40