Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $534.54 / $4,961.00 / $10,692.00	Facility		$534.54	$4,961.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.47 / $282.69 / $478.65	Professional		$220.47	$282.69	$478.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $291.49 / $291.49 / $291.49	Professional		$291.49	$291.49	$291.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $375.01 / $375.01 / $375.01	Professional		$375.01	$375.01	$375.01
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 $173.76 / $305.76 / $568.12	Professional		$173.76	$305.76	$568.12
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $279.48 / $378.85 / $415.08	Professional		$279.48	$378.85	$415.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.84 / $437.14 / $921.30	Facility		$389.84	$437.14	$921.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $236.50 / $314.41 / $461.18	Professional		$236.50	$314.41	$461.18
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 $143.41 / $259.77 / $532.46	Professional		$143.41	$259.77	$532.46