Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $4,365.16 / $9,772.37	Facility		$512.86	$4,365.16	$9,772.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.42 / $537.03 / $2,089.30	Professional		$275.42	$537.03	$2,089.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $234.42 / $524.81	Professional		$199.53	$234.42	$524.81
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $389.05 / $537.03	Professional		$269.15	$389.05	$537.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $501.19 / $1,148.15	Professional		$309.03	$501.19	$1,148.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $489.78 / $660.69 / $758.58	Professional		$489.78	$660.69	$758.58
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,630.27	Facility		$1,122.02	$1,698.24	$2,630.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $251.19 / $512.86 / $912.01	Professional		$251.19	$512.86	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $7,762.47	Facility		$1,380.38	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $338.84 / $812.83	Professional		$177.83	$338.84	$812.83