Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.33 / $1,975.00 / $6,872.00	Facility		$191.33	$1,975.00	$6,872.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.66 / $203.00 / $533.89	Professional		$129.66	$203.00	$533.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $245.51 / $245.51 / $245.51	Professional		$245.51	$245.51	$245.51
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $150.72 / $150.72 / $301.44	Professional		$150.72	$150.72	$301.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $126.00 / $227.56 / $480.33	Professional		$126.00	$227.56	$480.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $271.92 / $368.60 / $419.64	Professional		$271.92	$368.60	$419.64
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $878.95 / $971.34 / $1,852.45	Facility		$878.95	$971.34	$1,852.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.46 / $251.13 / $381.62	Professional		$138.46	$251.13	$381.62
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,339.00 / $9,152.00	Facility		$1,516.00	$3,339.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $249.94 / $487.57	Professional		$146.94	$249.94	$487.57