Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.38 / $3,987.00 / $11,298.00	Facility		$132.38	$3,987.00	$11,298.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.40 / $360.80 / $695.91	Professional		$111.40	$360.80	$695.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.74 / $50.78 / $226.73	Professional		$49.74	$50.78	$226.73
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $93.91 / $93.91 / $93.91	Professional		$93.91	$93.91	$93.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.58 / $128.58 / $132.60	Facility		$128.58	$128.58	$132.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.56 / $300.83 / $1,069.24	Professional		$116.56	$300.83	$1,069.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $595.77 / $821.93 / $1,019.75	Professional		$595.77	$821.93	$1,019.75
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.36 / $487.65 / $911.29	Professional		$88.36	$487.65	$911.29
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,352.00 / $10,536.00	Facility		$1,516.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.23 / $626.60 / $1,230.28	Professional		$435.23	$626.60	$1,230.28