Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.03 / $4,786.30 / $10,715.19	Facility		$263.03	$4,786.30	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.95 / $70.79 / $234.42	Professional		$19.95	$70.79	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $83.18	Professional		$75.86	$75.86	$83.18
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $257.04 / $257.04	Professional		$257.04	$257.04	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.91 / $53.70 / $138.04	Professional		$22.91	$53.70	$138.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $51.29 / $117.49	Professional		$30.20	$51.29	$117.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $1,000.00	Facility		$398.11	$645.65	$1,000.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $67.61 / $114.82	Professional		$18.62	$67.61	$114.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $40.74 / $104.71	Professional		$13.18	$40.74	$104.71