Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.86 / $2,344.23 / $9,332.54	Facility		$75.86	$2,344.23	$9,332.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $97.72 / $288.40	Professional		$47.86	$97.72	$288.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $56.23 / $93.33	Professional		$44.67	$56.23	$93.33
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $85.11 / $194.98	Professional		$52.48	$85.11	$194.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $134.90 / $151.36	Professional		$100.00	$134.90	$151.36
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 $44.67 / $87.10 / $147.91	Professional		$44.67	$87.10	$147.91
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 $32.36 / $60.26 / $138.04	Professional		$32.36	$60.26	$138.04