Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.93 / $3,374.00 / $9,784.00	Facility		$118.93	$3,374.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.79 / $122.49 / $174.70	Professional		$96.79	$122.49	$174.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.36 / $119.36 / $119.36	Professional		$119.36	$119.36	$119.36
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $106.41 / $180.07 / $447.76	Professional		$106.41	$180.07	$447.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.64 / $146.30 / $331.57	Professional		$84.64	$146.30	$331.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $113.63 / $154.16 / $362.65	Professional		$113.63	$154.16	$362.65
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.50 / $605.86 / $1,289.86	Facility		$586.50	$605.86	$1,289.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.27 / $135.65 / $190.75	Professional		$84.27	$135.65	$190.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $102.93 / $137.28 / $251.21	Professional		$102.93	$137.28	$251.21