Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.34 / $2,626.00 / $8,419.00	Facility		$186.34	$2,626.00	$8,419.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.69 / $207.68 / $642.46	Professional		$133.69	$207.68	$642.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.34 / $228.34 / $228.34	Professional		$228.34	$228.34	$228.34
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $137.94 / $139.29 / $1,017.98	Professional		$137.94	$139.29	$1,017.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.11 / $224.03 / $474.98	Professional		$126.11	$224.03	$474.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $10.00 / $10.00	Professional		$10.00	$10.00	$10.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $783.87 / $890.20 / $1,852.45	Facility		$783.87	$890.20	$1,852.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.27 / $244.32 / $364.53	Professional		$152.27	$244.32	$364.53
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 $129.63 / $233.08 / $474.81	Professional		$129.63	$233.08	$474.81