Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.92 / $2,286.00 / $6,872.00	Facility		$122.92	$2,286.00	$6,872.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.19 / $142.06 / $676.00	Professional		$90.19	$142.06	$676.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $80.42 / $85.15	Professional		$80.42	$80.42	$85.15
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $97.97 / $218.20 / $393.75	Professional		$97.97	$218.20	$393.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.48 / $161.99 / $333.30	Professional		$88.48	$161.99	$333.30
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $180.38 / $275.12	Professional		$28.80	$180.38	$275.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,426.00 / $1,710.56 / $3,709.35	Facility		$1,426.00	$1,710.56	$3,709.35
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.95 / $170.75 / $258.22	Professional		$107.95	$170.75	$258.22
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 $85.54 / $153.74 / $335.24	Professional		$85.54	$153.74	$335.24