Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.59 / $4,174.00 / $9,860.00	Facility		$133.59	$4,174.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.34 / $149.91 / $714.00	Professional		$95.34	$149.91	$714.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.60 / $166.60 / $166.60	Professional		$166.60	$166.60	$166.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $187.83 / $225.75 / $298.08	Professional		$187.83	$225.75	$298.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.81 / $158.97 / $337.55	Professional		$90.81	$158.97	$337.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $183.81 / $249.16 / $284.77	Professional		$183.81	$249.16	$284.77
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.84 / $549.24 / $921.30	Facility		$389.84	$549.24	$921.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.83 / $174.53 / $267.52	Professional		$104.83	$174.53	$267.52
United Facility/Professional Facility Modifier Low / Median / High Price $1,141.00 / $3,280.00 / $7,273.00	Facility		$1,141.00	$3,280.00	$7,273.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.51 / $168.03 / $339.12	Professional		$101.51	$168.03	$339.12