Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.22 / $4,294.00 / $10,871.00	Facility		$55.22	$4,294.00	$10,871.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.01 / $73.73 / $245.12	Professional		$37.01	$73.73	$245.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.81 / $113.81 / $126.46	Professional		$113.81	$113.81	$126.46
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $67.16 / $101.58 / $728.64	Professional		$67.16	$101.58	$728.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $76.95 / $196.28	Professional		$38.04	$76.95	$196.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $71.23 / $182.87	Professional		$19.20	$71.23	$182.87
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.84 / $402.71 / $483.09	Facility		$389.84	$402.71	$483.09
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.52 / $103.20 / $163.19	Professional		$43.52	$103.20	$163.19
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 $60.46 / $111.88 / $230.60	Professional		$60.46	$111.88	$230.60