Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $143.63 / $4,174.00 / $9,860.00	Facility		$143.63	$4,174.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.23 / $159.57 / $329.34	Professional		$108.23	$159.57	$329.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $175.71 / $175.71 / $175.71	Professional		$175.71	$175.71	$175.71
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $211.59 / $211.59 / $211.59	Professional		$211.59	$211.59	$211.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.83 / $172.62 / $370.66	Professional		$95.83	$172.62	$370.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $194.30 / $263.39 / $300.73	Professional		$194.30	$263.39	$300.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.14 / $549.24 / $1,047.55	Facility		$437.14	$549.24	$1,047.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.53 / $184.78 / $280.19	Professional		$115.53	$184.78	$280.19
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 $106.37 / $184.30 / $359.31	Professional		$106.37	$184.30	$359.31