Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.03 / $1,085.48 / $2,850.00	Facility		$158.03	$1,085.48	$2,850.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.51 / $184.50 / $266.24	Professional		$118.51	$184.50	$266.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $238.50 / $238.50 / $238.50	Professional		$238.50	$238.50	$238.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,141.20 / $1,141.20 / $1,141.20	Facility		$1,141.20	$1,141.20	$1,141.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,079.54 / $1,079.54 / $1,296.51	Facility		$1,079.54	$1,079.54	$1,296.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.44 / $306.87 / $745.20	Professional		$181.44	$306.87	$745.20
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $212.99 / $281.70 / $368.11	Professional		$212.99	$281.70	$368.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,041.03 / $1,289.99 / $2,619.90	Facility		$1,041.03	$1,289.99	$2,619.90
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.45 / $136.18 / $277.89	Professional		$99.45	$136.18	$277.89
United Facility/Professional Professional Modifier Low / Median / High Price $108.01 / $179.19 / $373.47	Professional		$108.01	$179.19	$373.47