Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.43 / $3,262.25 / $8,084.00	Facility		$108.43	$3,262.25	$8,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $108.43 / $321.60	Professional		$41.96	$108.43	$321.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.12 / $136.54 / $136.80	Professional		$123.12	$136.54	$136.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $123.78 / $166.58 / $306.27	Professional		$123.78	$166.58	$306.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.16 / $105.27 / $253.01	Professional		$43.16	$105.27	$253.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $127.72 / $173.13 / $197.98	Professional		$127.72	$173.13	$197.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.95 / $1,104.38 / $2,106.33	Facility		$878.95	$1,104.38	$2,106.33
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.61 / $125.96 / $191.09	Professional		$49.61	$125.96	$191.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $49.72 / $110.44 / $250.66	Professional		$49.72	$110.44	$250.66