Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.12 / $4,118.00 / $10,692.00	Facility		$44.12	$4,118.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.69 / $77.44 / $456.00	Professional		$26.69	$77.44	$456.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.01 / $99.01 / $99.01	Professional		$99.01	$99.01	$99.01
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $59.14 / $88.76 / $118.28	Professional		$59.14	$88.76	$118.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.26 / $64.23 / $158.66	Professional		$26.26	$64.23	$158.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $50.88 / $158.72	Professional		$19.20	$50.88	$158.72
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $783.87 / $1,080.00 / $2,189.00	Facility		$783.87	$1,080.00	$2,189.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.09 / $84.63 / $140.97	Professional		$31.09	$84.63	$140.97
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 $52.41 / $96.41 / $194.57	Professional		$52.41	$96.41	$194.57