Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $1,148.15 / $2,884.03	Facility		$70.79	$1,148.15	$2,884.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $52.48 / $144.54	Professional		$28.18	$52.48	$144.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $43.65 / $44.67	Professional		$38.90	$43.65	$44.67
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $128.82 / $128.82 / $128.82	Facility		$128.82	$128.82	$128.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $48.98 / $107.15	Professional		$29.51	$48.98	$107.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $60.26 / $79.43	Professional		$54.95	$60.26	$79.43
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $416.87 / $660.69	Facility		$263.03	$416.87	$660.69
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.30 / $46.77 / $134.90	Professional		$26.30	$46.77	$134.90
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 $23.99 / $39.81 / $91.20	Professional		$23.99	$39.81	$91.20