Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.08 / $3,801.89 / $8,511.38	Facility		$676.08	$3,801.89	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $218.78 / $758.58	Professional		$109.65	$218.78	$758.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $141.25 / $229.09	Professional		$83.18	$141.25	$229.09
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,187.76 / $2,187.76 / $2,187.76	Facility		$2,187.76	$2,187.76	$2,187.76
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $112.20 / $223.87	Professional		$83.18	$112.20	$223.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $204.17 / $416.87	Professional		$120.23	$204.17	$416.87
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $177.83 / $288.40	Professional		$53.70	$177.83	$288.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $707.95 / $1,548.82 / $3,235.94	Facility		$707.95	$1,548.82	$3,235.94
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.03 / $208.93 / $354.81	Professional		$123.03	$208.93	$354.81
United Facility/Professional Facility Modifier Low / Median / High Price $1,862.09 / $3,715.35 / $7,762.47	Facility		$1,862.09	$3,715.35	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $83.18 / $144.54 / $323.59	Professional		$83.18	$144.54	$323.59