Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $4,570.88 / $10,471.29	Facility		$323.59	$4,570.88	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $199.53 / $602.56	Professional		$117.49	$199.53	$602.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $138.04 / $173.78	Professional		$107.15	$138.04	$173.78
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $741.31 / $741.31 / $741.31	Facility		$741.31	$741.31	$741.31
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $239.88 / $239.88 / $239.88	Professional		$239.88	$239.88	$239.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $512.86	Professional		$123.03	$208.93	$512.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $204.17 / $281.84	Professional		$144.54	$204.17	$281.84
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $602.56 / $954.99 / $1,513.56	Facility		$602.56	$954.99	$1,513.56
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.33 / $169.82 / $575.44	Professional		$102.33	$169.82	$575.44
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 $93.33 / $165.96 / $323.59	Professional		$93.33	$165.96	$323.59