Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $210.59 / $2,626.00 / $8,084.00	Facility		$210.59	$2,626.00	$8,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $165.33 / $240.67 / $616.41	Professional		$165.33	$240.67	$616.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.30 / $129.30 / $129.30	Professional		$129.30	$129.30	$129.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $117.13 / $156.16 / $1,520.64	Professional		$117.13	$156.16	$1,520.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.54 / $265.27 / $567.97	Professional		$126.54	$265.27	$567.97
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 $1,647.48 / $3,035.95 / $3,474.07	Facility		$1,647.48	$3,035.95	$3,474.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.76 / $280.98 / $440.94	Professional		$181.76	$280.98	$440.94
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 $140.30 / $252.90 / $524.10	Professional		$140.30	$252.90	$524.10