Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.09 / $758.58 / $1,548.82	Facility		$229.09	$758.58	$1,548.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $177.83 / $263.03	Professional		$151.36	$177.83	$263.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $169.82 / $190.55	Professional		$151.36	$169.82	$190.55
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,023.29 / $1,023.29 / $1,023.29	Facility		$1,023.29	$1,023.29	$1,023.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $316.23 / $758.58 / $912.01	Facility		$316.23	$758.58	$912.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $158.49 / $158.49	Professional		$158.49	$158.49	$158.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $363.08 / $512.86	Professional		$269.15	$363.08	$512.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $1,071.52 / $1,698.24	Facility		$676.08	$1,071.52	$1,698.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $186.21 / $257.04	Professional		$158.49	$186.21	$257.04
United Facility/Professional Facility Modifier Low / Median / High Price $630.96 / $1,148.15 / $1,380.38	Facility		$630.96	$1,148.15	$1,380.38
United Facility/Professional Professional Modifier Low / Median / High Price $138.04 / $208.93 / $338.84	Professional		$138.04	$208.93	$338.84