Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.84 / $4,677.35 / $10,715.19	Facility		$281.84	$4,677.35	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $81.28 / $194.98	Professional		$48.98	$81.28	$194.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $97.72	Professional		$46.77	$67.61	$97.72
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $38.02 / $69.18 / $154.88	Professional		$38.02	$69.18	$154.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $72.44 / $151.36	Professional		$41.69	$72.44	$151.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $70.79 / $95.50	Professional		$26.92	$70.79	$95.50
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 / $74.13 / $128.82	Professional		$44.67	$74.13	$128.82
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 $30.20 / $51.29 / $114.82	Professional		$30.20	$51.29	$114.82