Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.33 / $4,174.00 / $9,383.00	Facility		$181.33	$4,174.00	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.10 / $259.39 / $521.00	Professional		$179.10	$259.39	$521.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $333.81 / $333.81 / $333.81	Professional		$333.81	$333.81	$333.81
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $388.56 / $388.56 / $388.56	Professional		$388.56	$388.56	$388.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.46 / $293.93 / $664.40	Professional		$161.46	$293.93	$664.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $350.87 / $475.62 / $540.17	Professional		$350.87	$475.62	$540.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,488.21 / $2,838.15 / $3,022.45	Facility		$1,488.21	$2,838.15	$3,022.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $338.90 / $504.75	Professional		$190.40	$338.90	$504.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $187.23 / $337.48 / $658.30	Professional		$187.23	$337.48	$658.30