Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $331.13 / $6,025.60 / $11,748.98	Facility		$331.13	$6,025.60	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $234.42 / $630.96	Professional		$169.82	$234.42	$630.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $181.97 / $181.97	Professional		$181.97	$181.97	$181.97
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $208.93 / $208.93 / $331.13	Professional		$208.93	$208.93	$331.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $251.19 / $616.60	Professional		$169.82	$251.19	$616.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $275.42 / $380.19	Professional		$173.78	$275.42	$380.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $489.78 / $776.25 / $1,230.27	Facility		$489.78	$776.25	$1,230.27
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $234.42 / $758.58	Professional		$173.78	$234.42	$758.58
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 $138.04 / $213.80 / $467.74	Professional		$138.04	$213.80	$467.74