Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.43 / $398.11 / $2,570.40	Facility		$79.43	$398.11	$2,570.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $87.10 / $218.78	Professional		$47.86	$87.10	$218.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $141.25	Professional		$85.11	$85.11	$141.25
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $524.81 / $524.81	Facility		$467.74	$524.81	$524.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $93.33 / $204.17	Professional		$51.29	$93.33	$204.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $138.04 / $190.55	Professional		$77.62	$138.04	$190.55
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 $47.86 / $91.20 / $263.03	Professional		$47.86	$91.20	$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 $43.65 / $77.62 / $177.83	Professional		$43.65	$77.62	$177.83