Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.12 / $2,849.28 / $9,125.00	Facility		$90.12	$2,849.28	$9,125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.59 / $105.39 / $434.31	Professional		$66.59	$105.39	$434.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.50 / $120.50 / $120.50	Professional		$120.50	$120.50	$120.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $110.10 / $110.11 / $110.11	Professional		$110.10	$110.11	$110.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.26 / $116.11 / $235.97	Professional		$66.26	$116.11	$235.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.20 / $115.63 / $205.67	Professional		$19.20	$115.63	$205.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,547.88 / $1,710.56 / $3,709.35	Facility		$1,547.88	$1,710.56	$3,709.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $125.50 / $189.93	Professional		$77.48	$125.50	$189.93
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $121.41 / $243.27	Professional		$72.73	$121.41	$243.27