Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $183.09 / $1,332.00 / $6,872.00	Facility		$183.09	$1,332.00	$6,872.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.78 / $203.30 / $526.40	Professional		$132.78	$203.30	$526.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $259.45 / $259.45 / $259.45	Professional		$259.45	$259.45	$259.45
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $275.33 / $331.64 / $436.95	Professional		$275.33	$331.64	$436.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.08 / $227.04 / $473.64	Professional		$123.08	$227.04	$473.64
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $270.30 / $366.40 / $418.15	Professional		$270.30	$366.40	$418.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $971.34 / $1,852.45 / $1,972.74	Facility		$971.34	$1,852.45	$1,972.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.68 / $250.92 / $373.72	Professional		$143.68	$250.92	$373.72
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.66 / $249.35 / $486.92	Professional		$138.66	$249.35	$486.92