Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,570.88 / $10,471.29	Facility		$1,000.00	$4,570.88	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $208.93 / $467.74	Professional		$109.65	$208.93	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.87 / $223.87 / $239.88	Professional		$223.87	$223.87	$239.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $602.56 / $602.56 / $676.08	Professional		$602.56	$602.56	$676.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $190.55 / $190.55	Facility		$190.55	$190.55	$190.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $208.93 / $478.63	Professional		$114.82	$208.93	$478.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $204.17 / $302.00 / $478.63	Professional		$204.17	$302.00	$478.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,344.23 / $3,630.78 / $6,025.60	Facility		$2,344.23	$3,630.78	$6,025.60
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $199.53 / $389.05	Professional		$91.20	$199.53	$389.05
United Facility/Professional Facility Modifier Low / Median / High Price $2,137.96 / $5,011.87 / $8,511.38	Facility		$2,137.96	$5,011.87	$8,511.38
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $162.18 / $331.13	Professional		$83.18	$162.18	$331.13