Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $2,344.23 / $8,511.38	Facility		$194.98	$2,344.23	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $281.84 / $891.25	Professional		$138.04	$281.84	$891.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $218.78 / $354.81	Professional		$186.21	$218.78	$354.81
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $302.00 / $426.58	Professional		$295.12	$302.00	$426.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.83 / $239.88 / $575.44	Professional		$131.83	$239.88	$575.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $371.54 / $426.58	Professional		$275.42	$371.54	$426.58
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 $125.89 / $251.19 / $436.52	Professional		$125.89	$251.19	$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 $85.11 / $169.82 / $380.19	Professional		$85.11	$169.82	$380.19