Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $109.01 / $3,736.00 / $10,202.00	Facility		$109.01	$3,736.00	$10,202.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $110.22 / $199.18 / $381.64	Professional		$110.22	$199.18	$381.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $462.96 / $462.96 / $462.96	Professional		$462.96	$462.96	$462.96
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $348.67 / $548.58	Professional		$82.00	$348.67	$548.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $146.35 / $280.02 / $676.19	Professional		$146.35	$280.02	$676.19
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $326.77 / $442.97 / $584.47	Professional		$326.77	$442.97	$584.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,031.42 / $2,216.56 / $3,933.96	Facility		$2,031.42	$2,216.56	$3,933.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $302.01 / $492.71	Professional		$153.08	$302.01	$492.71
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 $165.18 / $308.20 / $662.89	Professional		$165.18	$308.20	$662.89