Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $851.14 / $4,786.30 / $11,220.18	Facility		$851.14	$4,786.30	$11,220.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $128.82 / $537.03	Professional		$45.71	$128.82	$537.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $100.00 / $138.04	Professional		$81.28	$100.00	$138.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $141.25 / $234.42	Professional		$53.70	$141.25	$234.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $100.00 / $245.47	Professional		$44.67	$100.00	$245.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $85.11 / $165.96	Professional		$30.20	$85.11	$165.96
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 $42.66 / $109.65 / $194.98	Professional		$42.66	$109.65	$194.98
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 $29.51 / $69.18 / $165.96	Professional		$29.51	$69.18	$165.96