Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.76 / $4,294.00 / $10,692.00	Facility		$78.76	$4,294.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.90 / $96.53 / $580.00	Professional		$52.90	$96.53	$580.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.56 / $127.56 / $127.56	Professional		$127.56	$127.56	$127.56
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $71.65 / $90.97 / $121.29	Professional		$71.65	$90.97	$121.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.42 / $96.50 / $254.52	Professional		$54.42	$96.50	$254.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $85.57 / $217.62	Professional		$28.80	$85.57	$217.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.14 / $483.09 / $981.13	Facility		$437.14	$483.09	$981.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $127.92 / $203.18	Professional		$57.21	$127.92	$203.18
United Facility/Professional Facility Modifier Low / Median / High Price $1,341.00 / $2,626.00 / $5,864.00	Facility		$1,341.00	$2,626.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.84 / $128.88 / $271.75	Professional		$70.84	$128.88	$271.75