Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,691.53 / $6,456.54 / $18,620.87	Facility		$2,691.53	$6,456.54	$18,620.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $67.61 / $239.88	Professional		$42.66	$67.61	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $33.88 / $67.61	Professional		$19.95	$33.88	$67.61
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $602.56	Professional		$602.56	$602.56	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $72.44 / $147.91	Professional		$33.88	$72.44	$147.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $75.86 / $151.36	Professional		$47.86	$75.86	$151.36
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $48.98 / $128.82	Professional		$35.48	$48.98	$128.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,762.47	Facility		$1,412.54	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $53.70 / $123.03	Professional		$38.90	$53.70	$123.03