Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $363.01 / $4,380.10 / $9,125.00	Facility		$363.01	$4,380.10	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.49 / $369.24 / $610.97	Professional		$181.49	$369.24	$610.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.91 / $166.91 / $178.59	Professional		$166.91	$166.91	$178.59
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $86.08 / $86.08 / $86.08	Professional		$86.08	$86.08	$86.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.16 / $536.02 / $1,309.96	Professional		$216.16	$536.02	$1,309.96
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $303.63 / $455.26 / $464.42	Professional		$303.63	$455.26	$464.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,365.87 / $6,365.87 / $8,968.77	Facility		$6,365.87	$6,365.87	$8,968.77
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $336.86 / $600.25 / $1,105.68	Professional		$336.86	$600.25	$1,105.68
United Facility/Professional Facility Modifier Low / Median / High Price $4,415.00 / $7,250.00 / $10,536.00	Facility		$4,415.00	$7,250.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $277.89 / $631.84 / $1,636.95	Professional		$277.89	$631.84	$1,636.95