Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $549.54 / $4,897.79 / $10,715.19	Facility		$549.54	$4,897.79	$10,715.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $27.54 / $117.49	Professional		$4.27	$27.54	$117.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.37 / $7.59	Professional		$4.47	$5.37	$7.59
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $9.33 / $39.81	Professional		$5.89	$9.33	$39.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2.19 / $6.61 / $15.49	Professional		$2.19	$6.61	$15.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.61 / $8.91 / $10.47	Professional		$6.61	$8.91	$10.47
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $1.70 / $6.03 / $12.88	Professional		$1.70	$6.03	$12.88
United Facility/Professional Facility Modifier Low / Median / High Price $1,412.54 / $2,884.03 / $7,762.47	Facility		$1,412.54	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $1.17 / $3.89 / $10.72	Professional		$1.17	$3.89	$10.72