Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,897.79 / $10,715.19	Facility		$851.14	$4,897.79	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $162.18 / $575.44	Professional		$77.62	$162.18	$575.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $128.82 / $162.18	Professional		$128.82	$128.82	$162.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $147.91 / $147.91 / $147.91	Professional		$147.91	$147.91	$147.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $309.03	Professional		$77.62	$138.04	$309.03
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $204.17 / $234.42	Professional		$151.36	$204.17	$234.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $1,000.00	Facility		$398.11	$645.65	$1,000.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $144.54 / $257.04	Professional		$72.44	$144.54	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $97.72 / $218.78	Professional		$50.12	$97.72	$218.78