Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.87 / $4,570.88 / $10,000.00	Facility		$416.87	$4,570.88	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $426.58 / $1,380.38	Professional		$234.42	$426.58	$1,380.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $346.74 / $346.74 / $346.74	Professional		$346.74	$346.74	$346.74
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $363.08 / $426.58 / $602.56	Professional		$363.08	$426.58	$602.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.04 / $416.87 / $1,000.00	Professional		$257.04	$416.87	$1,000.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $436.52 / $602.56 / $676.08	Professional		$436.52	$602.56	$676.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,122.02 / $1,698.24 / $2,454.71	Facility		$1,122.02	$1,698.24	$2,454.71
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $436.52 / $758.58	Professional		$213.80	$436.52	$758.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,380.38 / $2,884.03 / $7,762.47	Facility		$1,380.38	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $151.36 / $295.12 / $676.08	Professional		$151.36	$295.12	$676.08