Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $161.25 / $2,612.00 / $8,419.00	Facility		$161.25	$2,612.00	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.19 / $244.28 / $415.12	Professional		$162.19	$244.28	$415.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $259.56 / $316.91	Professional		$92.06	$259.56	$316.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $272.30 / $363.68 / $732.44	Professional		$272.30	$363.68	$732.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.24 / $313.89 / $693.73	Professional		$183.24	$313.89	$693.73
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $299.31 / $405.74 / $534.98	Professional		$299.31	$405.74	$534.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,788.75 / $2,005.74 / $3,933.96	Facility		$1,788.75	$2,005.74	$3,933.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $182.50 / $284.07 / $480.22	Professional		$182.50	$284.07	$480.22
United Facility/Professional Facility Modifier Low / Median / High Price $1,882.00 / $3,823.00 / $10,536.00	Facility		$1,882.00	$3,823.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $165.25 / $282.94 / $615.51	Professional		$165.25	$282.94	$615.51