Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.71 / $4,049.00 / $10,871.00	Facility		$43.71	$4,049.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.71 / $82.46 / $315.85	Professional		$43.71	$82.46	$315.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.39 / $113.39 / $133.40	Professional		$113.39	$113.39	$133.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $63.54 / $82.60 / $142.25	Professional		$63.54	$82.60	$142.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.79 / $83.75 / $222.22	Professional		$44.79	$83.75	$222.22
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $85.57 / $193.05	Professional		$24.00	$85.57	$193.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.84 / $437.14 / $981.13	Facility		$389.84	$437.14	$981.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.84 / $105.29 / $171.12	Professional		$46.84	$105.29	$171.12
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 $63.90 / $112.95 / $238.21	Professional		$63.90	$112.95	$238.21