Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.12 / $4,174.00 / $9,860.00	Facility		$125.12	$4,174.00	$9,860.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.02 / $135.74 / $368.08	Professional		$87.02	$135.74	$368.08
Aetna Facility/Professional Professional Modifier 22 Low / Median / High Price $799.01 / $799.01 / $799.01	Professional	22	$799.01	$799.01	$799.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $174.57 / $174.57 / $174.57	Professional		$174.57	$174.57	$174.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $202.44 / $340.93	Professional		$155.72	$202.44	$340.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.47 / $157.58 / $311.76	Professional		$84.47	$157.58	$311.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $172.60 / $233.97 / $266.86	Professional		$172.60	$233.97	$266.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $783.87 / $890.20 / $971.34	Facility		$783.87	$890.20	$971.34
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.93 / $168.33 / $246.61	Professional		$91.93	$168.33	$246.61
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 $88.50 / $155.30 / $320.33	Professional		$88.50	$155.30	$320.33