Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.11 / $416.87 / $2,630.27	Facility		$85.11	$416.87	$2,630.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $97.72 / $331.13	Professional		$43.65	$97.72	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $47.86	Professional		$39.81	$39.81	$47.86
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $316.23 / $316.23 / $316.23	Professional		$316.23	$316.23	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $95.50 / $218.78	Professional		$46.77	$95.50	$218.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $123.03 / $169.82	Professional		$74.13	$123.03	$169.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $512.86 / $794.33	Facility		$323.59	$512.86	$794.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $87.10 / $263.03	Professional		$38.02	$87.10	$263.03
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 $37.15 / $75.86 / $177.83	Professional		$37.15	$75.86	$177.83