Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,258.93 / $4,677.35 / $10,471.29	Facility		$1,258.93	$4,677.35	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $234.42 / $676.08	Professional		$144.54	$234.42	$676.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $131.83 / $371.54	Professional		$131.83	$131.83	$371.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Professional		$199.53	$199.53	$199.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $251.19 / $524.81	Professional		$144.54	$251.19	$524.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $213.80 / $354.81	Professional		$120.23	$213.80	$354.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,290.87 / $3,548.13	Facility		$1,412.54	$2,290.87	$3,548.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $269.15 / $457.09	Professional		$141.25	$269.15	$457.09
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 $95.50 / $173.78 / $389.05	Professional		$95.50	$173.78	$389.05