Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $233.28 / $1,332.00 / $6,628.00	Facility		$233.28	$1,332.00	$6,628.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.89 / $252.30 / $505.37	Professional		$172.89	$252.30	$505.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $292.39 / $292.39 / $292.39	Professional		$292.39	$292.39	$292.39
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,256.32 / $1,256.32 / $1,256.32	Facility		$1,256.32	$1,256.32	$1,256.32
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $178.38 / $178.38 / $198.75	Professional		$178.38	$178.38	$198.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.81 / $280.43 / $593.47	Professional		$160.81	$280.43	$593.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $325.04 / $440.62 / $500.98	Professional		$325.04	$440.62	$500.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $783.87 / $878.95 / $1,972.74	Facility		$783.87	$878.95	$1,972.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $188.55 / $322.45 / $480.55	Professional		$188.55	$322.45	$480.55
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 $174.94 / $301.37 / $599.72	Professional		$174.94	$301.37	$599.72