Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.48 / $3,827.00 / $9,784.00	Facility		$61.48	$3,827.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.51 / $61.80 / $174.05	Professional		$45.51	$61.80	$174.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.91 / $62.91 / $62.91	Professional		$62.91	$62.91	$62.91
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $52.50 / $83.30 / $188.76	Professional		$52.50	$83.30	$188.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.60 / $70.26 / $136.97	Professional		$35.60	$70.26	$136.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.60 / $71.23 / $109.27	Professional		$21.60	$71.23	$109.27
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $437.14 / $442.74 / $921.30	Facility		$437.14	$442.74	$921.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.88 / $72.06 / $109.45	Professional		$50.88	$72.06	$109.45
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 $38.65 / $64.38 / $137.31	Professional		$38.65	$64.38	$137.31