Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $257.04 / $3,981.07	Facility		$69.18	$257.04	$3,981.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $128.82 / $380.19	Professional		$67.61	$128.82	$380.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $89.13 / $89.13	Professional		$89.13	$89.13	$89.13
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $117.49 / $257.04	Professional		$69.18	$117.49	$257.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $87.10 / $134.90 / $186.21	Professional		$87.10	$134.90	$186.21
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $851.14 / $1,348.96	Facility		$549.54	$851.14	$1,348.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.10 / $109.65 / $338.84	Professional		$63.10	$109.65	$338.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,348.96 / $2,884.03 / $7,762.47	Facility		$1,348.96	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $91.20 / $218.78	Professional		$56.23	$91.20	$218.78