Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.83 / $2,398.83 / $8,511.38	Facility		$131.83	$2,398.83	$8,511.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $120.23 / $426.58	Professional		$50.12	$120.23	$426.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $100.00 / $120.23	Professional		$42.66	$100.00	$120.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $295.12 / $295.12 / $295.12	Professional		$295.12	$295.12	$295.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $100.00 / $229.09	Professional		$53.70	$100.00	$229.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $158.49 / $181.97	Professional		$117.49	$158.49	$181.97
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $398.11 / $645.65 / $1,000.00	Facility		$398.11	$645.65	$1,000.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $109.65 / $181.97	Professional		$44.67	$109.65	$181.97
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $67.61 / $162.18	Professional		$30.90	$67.61	$162.18