Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $512.86 / $4,570.88 / $10,715.19	Facility		$512.86	$4,570.88	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.55 / $331.13 / $794.33	Professional		$190.55	$331.13	$794.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $257.04 / $371.54	Professional		$95.50	$257.04	$371.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $331.13 / $575.44	Professional		$107.15	$331.13	$575.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $323.59 / $323.59	Facility		$323.59	$323.59	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $302.00 / $676.08	Professional		$181.97	$302.00	$676.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $426.58 / $660.69	Professional		$346.74	$426.58	$660.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $2,818.38 / $4,677.35	Facility		$1,778.28	$2,818.38	$4,677.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.18 / $295.12 / $562.34	Professional		$162.18	$295.12	$562.34
United Facility/Professional Facility Modifier Low / Median / High Price $1,778.28 / $3,548.13 / $7,762.47	Facility		$1,778.28	$3,548.13	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $134.90 / $239.88 / $478.63	Professional		$134.90	$239.88	$478.63