Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $4,118.00 / $9,383.00	Facility		$33.29	$4,118.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.29 / $86.24 / $204.48	Professional		$33.29	$86.24	$204.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.31 / $99.09 / $109.64	Professional		$90.31	$99.09	$109.64
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $89.09 / $127.93 / $243.35	Professional		$89.09	$127.93	$243.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.85 / $83.46 / $201.22	Professional		$34.85	$83.46	$201.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $102.05 / $138.34 / $158.97	Professional		$102.05	$138.34	$158.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.84 / $442.74 / $981.13	Facility		$389.84	$442.74	$981.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $92.44 / $158.93	Professional		$39.79	$92.44	$158.93
United Facility/Professional Facility Modifier Low / Median / High Price $1,308.00 / $3,336.00 / $8,540.00	Facility		$1,308.00	$3,336.00	$8,540.00
United Facility/Professional Professional Modifier Low / Median / High Price $58.11 / $98.86 / $202.93	Professional		$58.11	$98.86	$202.93