Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.54 / $750.87 / $5,058.00	Facility		$181.54	$750.87	$5,058.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $198.34 / $241.52 / $322.49	Professional		$198.34	$241.52	$322.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.17 / $239.65 / $298.89	Professional		$236.17	$239.65	$298.89
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $420.70 / $4,872.71	Facility		$390.00	$420.70	$4,872.71
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $275.52 / $275.52 / $275.52	Professional		$275.52	$275.52	$275.52
Cigna Facility/Professional Facility Modifier Low / Median / High Price $314.62 / $314.62 / $377.85	Facility		$314.62	$314.62	$377.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.22 / $331.79 / $877.22	Professional		$174.22	$331.79	$877.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $284.25 / $365.46 / $477.22	Professional		$284.25	$365.46	$477.22
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.40 / $675.13 / $772.53	Facility		$380.40	$675.13	$772.53
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.75 / $226.96 / $388.88	Professional		$165.75	$226.96	$388.88
United Facility/Professional Professional Modifier Low / Median / High Price $182.59 / $253.10 / $487.94	Professional		$182.59	$253.10	$487.94