Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.55 / $4,786.30 / $10,471.29	Facility		$190.55	$4,786.30	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.99 / $74.13 / $331.13	Professional		$23.99	$74.13	$331.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.95 / $57.54 / $75.86	Professional		$54.95	$57.54	$75.86
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $69.18 / $229.09	Professional		$52.48	$69.18	$229.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $61.66 / $125.89	Professional		$26.92	$61.66	$125.89
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $87.10 / $100.00	Professional		$64.57	$87.10	$100.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $57.54 / $104.71	Professional		$23.44	$57.54	$104.71
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,762.47	Facility		$1,412.54	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $14.79 / $38.02 / $102.33	Professional		$14.79	$38.02	$102.33