Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $5,495.41 / $10,964.78	Facility		$1,778.28	$5,495.41	$10,964.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $467.74 / $1,819.70	Professional		$173.78	$467.74	$1,819.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $354.81 / $562.34	Professional		$309.03	$354.81	$562.34
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $467.74 / $467.74 / $660.69	Professional		$467.74	$467.74	$660.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.83 / $389.05 / $794.33	Professional		$177.83	$389.05	$794.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $245.47 / $575.44	Professional		$72.44	$245.47	$575.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $398.11 / $676.08	Professional		$158.49	$398.11	$676.08
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $3,019.95 / $7,762.47	Facility		$1,412.54	$3,019.95	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $128.82 / $257.04 / $691.83	Professional		$128.82	$257.04	$691.83