Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.80 / $4,118.00 / $9,842.00	Facility		$101.80	$4,118.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.50 / $112.34 / $437.44	Professional		$72.50	$112.34	$437.44
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $35.25 / $53.99 / $91.61	Professional	52	$35.25	$53.99	$91.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $124.13 / $124.13 / $132.93	Professional		$124.13	$124.13	$132.93
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $125.86 / $162.16 / $223.16	Professional		$125.86	$162.16	$223.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $117.08 / $250.62	Professional		$63.00	$117.08	$250.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $137.65 / $186.59 / $213.76	Professional		$137.65	$186.59	$213.76
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $465.27 / $549.24 / $981.13	Facility		$465.27	$549.24	$981.13
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $130.82 / $195.48	Professional		$77.72	$130.82	$195.48
United Facility/Professional Facility Modifier Low / Median / High Price $1,200.00 / $3,339.00 / $9,152.00	Facility		$1,200.00	$3,339.00	$9,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.89 / $123.51 / $253.57	Professional		$70.89	$123.51	$253.57