Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $220.94 / $220.94 / $590.03	Facility		$220.94	$220.94	$590.03
Aetna Facility/Professional Professional Modifier Low / Median / High Price $172.04 / $220.94 / $417.58	Professional		$172.04	$220.94	$417.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $219.72 / $219.72 / $219.72	Professional		$219.72	$219.72	$219.72
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $275.08 / $275.08 / $275.08	Professional		$275.08	$275.08	$275.08
Cigna Facility/Professional Facility Modifier Low / Median / High Price $403.23 / $403.23 / $484.27	Facility		$403.23	$403.23	$484.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $143.27 / $240.76 / $444.48	Professional		$143.27	$240.76	$444.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $228.39 / $309.60 / $339.32	Professional		$228.39	$309.60	$339.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.71 / $465.27 / $1,047.55	Facility		$402.71	$465.27	$1,047.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $189.52 / $259.50 / $376.35	Professional		$189.52	$259.50	$376.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,341.00 / $2,626.00 / $5,864.00	Facility		$1,341.00	$2,626.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.94 / $217.62 / $426.67	Professional		$120.94	$217.62	$426.67