Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $278.27 / $1,539.00 / $7,684.00	Facility		$278.27	$1,539.00	$7,684.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $212.83 / $310.04 / $843.90	Professional		$212.83	$310.04	$843.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $378.97 / $378.97 / $378.97	Professional		$378.97	$378.97	$378.97
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $571.35 / $571.35 / $571.35	Facility		$571.35	$571.35	$571.35
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $439.73 / $439.73 / $439.73	Professional		$439.73	$439.73	$439.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.46 / $343.46 / $778.41	Professional		$194.46	$343.46	$778.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $399.82 / $541.97 / $614.50	Professional		$399.82	$541.97	$614.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $890.20 / $971.34 / $1,972.74	Facility		$890.20	$971.34	$1,972.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $230.38 / $385.80 / $574.61	Professional		$230.38	$385.80	$574.61
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 $217.34 / $389.89 / $767.74	Professional		$217.34	$389.89	$767.74