Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,570.40 / $5,495.41 / $10,964.78	Facility		$2,570.40	$5,495.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $162.18 / $436.52	Professional		$102.33	$162.18	$436.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $125.89 / $125.89	Professional		$125.89	$125.89	$125.89
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $190.55 / $204.17	Professional		$190.55	$190.55	$204.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $181.97 / $371.54	Professional		$107.15	$181.97	$371.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $186.21 / $251.19 / $288.40	Professional		$186.21	$251.19	$288.40
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 $97.72 / $186.21 / $316.23	Professional		$97.72	$186.21	$316.23
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 $67.61 / $123.03 / $288.40	Professional		$67.61	$123.03	$288.40