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 $93.33 / $245.47 / $954.99	Professional		$93.33	$245.47	$954.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.11 / $109.65 / $257.04	Professional		$85.11	$109.65	$257.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $302.00 / $870.96	Professional		$165.96	$302.00	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $245.47 / $645.65	Professional		$107.15	$245.47	$645.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $354.81 / $1,548.82	Professional		$239.88	$354.81	$1,548.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,445.44 / $2,238.72 / $3,548.13	Facility		$1,445.44	$2,238.72	$3,548.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.13 / $257.04 / $758.58	Professional		$89.13	$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 $83.18 / $199.53 / $489.78	Professional		$83.18	$199.53	$489.78