Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $218.78 / $6,025.60 / $11,748.98	Facility		$218.78	$6,025.60	$11,748.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $141.25 / $537.03	Professional		$69.18	$141.25	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $85.11 / $85.11	Professional		$85.11	$85.11	$85.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $138.04 / $316.23	Professional		$104.71	$138.04	$316.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $125.89 / $275.42	Professional		$64.57	$125.89	$275.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $125.89 / $169.82 / $194.98	Professional		$125.89	$169.82	$194.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $467.74 / $741.31 / $1,174.90	Facility		$467.74	$741.31	$1,174.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $123.03 / $229.09	Professional		$56.23	$123.03	$229.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $91.20 / $223.87	Professional		$45.71	$91.20	$223.87