Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.54 / $4,677.35 / $10,715.19	Facility		$371.54	$4,677.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $169.82 / $549.54	Professional		$104.71	$169.82	$549.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $154.88 / $223.87	Professional		$151.36	$154.88	$223.87
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $123.03 / $123.03	Professional		$123.03	$123.03	$123.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $194.98 / $426.58	Professional		$117.49	$194.98	$426.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $173.78 / $194.98 / $302.00	Professional		$173.78	$194.98	$302.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $616.60 / $977.24 / $1,548.82	Facility		$616.60	$977.24	$1,548.82
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $162.18 / $346.74	Professional		$89.13	$162.18	$346.74
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 $104.71 / $165.96 / $275.42	Professional		$104.71	$165.96	$275.42