Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $159.54 / $516.52 / $2,302.30	Facility		$159.54	$516.52	$2,302.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $180.00 / $245.64	Professional		$101.98	$180.00	$245.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.06 / $114.24 / $114.24	Professional		$86.06	$114.24	$114.24
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $204.16 / $2,017.44 / $3,533.00	Facility		$204.16	$2,017.44	$3,533.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $140.80 / $170.29 / $170.29	Professional		$140.80	$170.29	$170.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,280.00 / $1,280.00 / $1,280.00	Facility		$1,280.00	$1,280.00	$1,280.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.91 / $78.91 / $78.91	Professional		$78.91	$78.91	$78.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $114.86 / $147.68 / $193.15	Professional		$114.86	$147.68	$193.15
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.47 / $380.40 / $1,165.00	Facility		$46.47	$380.40	$1,165.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.61 / $173.16 / $203.72	Professional		$141.61	$173.16	$203.72
United Facility/Professional Professional Modifier Low / Median / High Price $77.38 / $208.17 / $399.02	Professional		$77.38	$208.17	$399.02