Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $575.44 / $3,981.07 / $7,943.28	Facility		$575.44	$3,981.07	$7,943.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $186.21 / $660.69	Professional		$72.44	$186.21	$660.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $104.71 / $354.81	Professional		$87.10	$104.71	$354.81
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $588.84 / $588.84 / $6,165.95	Facility		$588.84	$588.84	$6,165.95
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Professional		$741.31	$741.31	$741.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $346.74 / $1,288.25	Professional		$95.50	$346.74	$1,288.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $426.58 / $660.69	Professional		$134.90	$426.58	$660.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,290.87 / $3,548.13	Facility		$1,445.44	$2,290.87	$3,548.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $426.58 / $912.01	Professional		$69.18	$426.58	$912.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $7,762.47	Facility		$1,862.09	$3,630.78	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $204.17 / $851.14	Professional		$47.86	$204.17	$851.14