Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.87 / $4,294.00 / $10,692.00	Facility		$76.87	$4,294.00	$10,692.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.14 / $92.48 / $423.89	Professional		$54.14	$92.48	$423.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $149.66 / $149.66 / $149.66	Professional		$149.66	$149.66	$149.66
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $91.42 / $158.90	Professional		$71.59	$91.42	$158.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.07 / $93.71 / $222.47	Professional		$55.07	$93.71	$222.47
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $85.57 / $217.30	Professional		$24.00	$85.57	$217.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $442.74 / $549.24 / $981.13	Facility		$442.74	$549.24	$981.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.49 / $124.80 / $187.16	Professional		$59.49	$124.80	$187.16
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 $71.98 / $131.37 / $271.95	Professional		$71.98	$131.37	$271.95