Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.41 / $2,333.50 / $9,784.00	Facility		$112.41	$2,333.50	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.82 / $461.90 / $1,635.06	Professional		$88.82	$461.90	$1,635.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.76 / $769.38 / $994.93	Professional		$82.76	$769.38	$994.93
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $152.47 / $152.47 / $1,241.41	Professional		$152.47	$152.47	$1,241.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.48 / $251.10 / $2,426.78	Professional		$92.48	$251.10	$2,426.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $1,045.03 / $1,450.71 / $1,786.95	Professional		$1,045.03	$1,450.71	$1,786.95
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $1,090.88 / $2,093.42	Professional		$72.47	$1,090.88	$2,093.42
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,339.00 / $9,152.00	Facility		$1,529.00	$3,339.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $979.11 / $1,509.25 / $2,975.05	Professional		$979.11	$1,509.25	$2,975.05