Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $4,677.35 / $10,471.29	Facility		$154.88	$4,677.35	$10,471.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $64.57 / $234.42	Professional		$28.84	$64.57	$234.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.74 / $48.98 / $64.57	Professional		$40.74	$48.98	$64.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $31.62 / $63.10 / $131.83	Professional		$31.62	$63.10	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $54.95 / $114.82	Professional		$26.92	$54.95	$114.82
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $51.29 / $81.28	Professional		$12.02	$51.29	$81.28
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 $24.55 / $53.70 / $95.50	Professional		$24.55	$53.70	$95.50
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 $16.98 / $36.31 / $85.11	Professional		$16.98	$36.31	$85.11