Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $4,570.88 / $10,471.29	Facility		$229.09	$4,570.88	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $229.09 / $676.08	Professional		$134.90	$229.09	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $128.82 / $281.84	Professional		$85.11	$128.82	$281.84
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $138.04 / $275.42	Professional		$138.04	$138.04	$275.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $501.19	Professional		$134.90	$239.88	$501.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $213.80 / $346.74	Professional		$60.26	$213.80	$346.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,288.25 / $2,041.74	Facility		$812.83	$1,288.25	$2,041.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $257.04 / $436.52	Professional		$134.90	$257.04	$436.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $7,762.47	Facility		$1,380.38	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $165.96 / $371.54	Professional		$89.13	$165.96	$371.54