Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $758.58 / $3,630.78 / $6,456.54	Facility		$758.58	$3,630.78	$6,456.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $263.03 / $1,000.00	Professional		$104.71	$263.03	$1,000.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $223.87 / $316.23	Professional		$112.20	$223.87	$316.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $416.87 / $870.96	Professional		$181.97	$416.87	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $257.04 / $676.08	Professional		$117.49	$257.04	$676.08
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $363.08 / $1,698.24	Professional		$239.88	$363.08	$1,698.24
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,344.23 / $3,548.13	Facility		$1,445.44	$2,344.23	$3,548.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $257.04 / $758.58	Professional		$95.50	$257.04	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,630.78 / $7,762.47	Facility		$1,862.09	$3,630.78	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $208.93 / $501.19	Professional		$89.13	$208.93	$501.19