Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $4,294.00 / $9,860.00	Facility		$54.67	$4,294.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.03 / $59.73 / $299.00	Professional		$41.03	$59.73	$299.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.63 / $64.63 / $64.63	Professional		$64.63	$64.63	$64.63
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $60.50 / $87.74 / $153.60	Professional		$60.50	$87.74	$153.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.42 / $66.15 / $137.33	Professional		$35.42	$66.15	$137.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.40 / $74.90 / $110.93	Professional		$14.40	$74.90	$110.93
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.14 / $483.09 / $549.24	Facility		$437.14	$483.09	$549.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.22 / $69.56 / $108.69	Professional		$44.22	$69.56	$108.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,341.00 / $2,626.00 / $5,864.00	Facility		$1,341.00	$2,626.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $40.81 / $65.41 / $131.99	Professional		$40.81	$65.41	$131.99