Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.72 / $3,205.68 / $6,986.00	Facility		$130.72	$3,205.68	$6,986.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.42 / $150.25 / $717.57	Professional		$111.42	$150.25	$717.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.02 / $167.02 / $167.02	Professional		$167.02	$167.02	$167.02
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $152.52 / $227.15 / $300.10	Professional		$152.52	$227.15	$300.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.35 / $181.17 / $357.34	Professional		$92.35	$181.17	$357.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $180.38 / $286.39	Professional		$28.80	$180.38	$286.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,283.82 / $3,939.13 / $7,512.32	Facility		$3,283.82	$3,939.13	$7,512.32
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $128.19 / $190.88 / $288.43	Professional		$128.19	$190.88	$288.43
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 $100.84 / $174.32 / $344.91	Professional		$100.84	$174.32	$344.91