Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $307.56 / $4,942.97 / $9,383.00	Facility		$307.56	$4,942.97	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.65 / $340.02 / $1,300.36	Professional		$220.65	$340.02	$1,300.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $388.02 / $388.02 / $388.02	Professional		$388.02	$388.02	$388.02
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $414.03 / $516.19 / $1,209.04	Professional		$414.03	$516.19	$1,209.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.12 / $358.51 / $798.06	Professional		$201.12	$358.51	$798.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $407.02 / $551.73 / $627.54	Professional		$407.02	$551.73	$627.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,488.21 / $1,692.05 / $2,838.15	Facility		$1,488.21	$1,692.05	$2,838.15
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $234.80 / $405.95 / $629.54	Professional		$234.80	$405.95	$629.54
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 $227.11 / $398.06 / $849.02	Professional		$227.11	$398.06	$849.02