Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.12 / $1,664.28 / $6,481.00	Facility		$237.12	$1,664.28	$6,481.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $163.95 / $260.20 / $788.73	Professional		$163.95	$260.20	$788.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.86 / $283.86 / $283.86	Professional		$283.86	$283.86	$283.86
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,512.15 / $1,512.15 / $1,512.15	Facility		$1,512.15	$1,512.15	$1,512.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $187.60 / $344.99 / $587.66	Professional		$187.60	$344.99	$587.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.88 / $270.14 / $583.39	Professional		$153.88	$270.14	$583.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $313.64 / $425.17 / $485.01	Professional		$313.64	$425.17	$485.01
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $809.75 / $1,104.38 / $1,972.74	Facility		$809.75	$1,104.38	$1,972.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $180.20 / $307.77 / $460.42	Professional		$180.20	$307.77	$460.42
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 $171.54 / $288.89 / $583.04	Professional		$171.54	$288.89	$583.04