Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.09 / $4,294.00 / $10,871.00	Facility		$67.09	$4,294.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $86.90 / $181.38	Professional		$51.10	$86.90	$181.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $115.47 / $116.75	Professional		$101.24	$115.47	$116.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $99.13 / $141.13 / $194.39	Professional		$99.13	$141.13	$194.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.22 / $104.19 / $207.95	Professional		$48.22	$104.19	$207.95
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.20 / $65.00 / $186.04	Professional		$7.20	$65.00	$186.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.71 / $442.74 / $549.24	Facility		$402.71	$442.74	$549.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.78 / $108.82 / $162.32	Professional		$49.78	$108.82	$162.32
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 $64.47 / $104.64 / $211.19	Professional		$64.47	$104.64	$211.19