Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.18 / $3,374.00 / $8,084.00	Facility		$110.18	$3,374.00	$8,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.04 / $127.24 / $484.95	Professional		$85.04	$127.24	$484.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $132.91 / $145.74 / $154.31	Professional		$132.91	$145.74	$154.31
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $82.12 / $104.82 / $227.57	Professional		$82.12	$104.82	$227.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.25 / $143.75 / $302.68	Professional		$80.25	$143.75	$302.68
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.00 / $155.40 / $249.17	Professional		$24.00	$155.40	$249.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $809.75 / $971.34 / $1,972.74	Facility		$809.75	$971.34	$1,972.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $97.94 / $153.91 / $229.01	Professional		$97.94	$153.91	$229.01
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 $87.58 / $151.99 / $295.08	Professional		$87.58	$151.99	$295.08