Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.88 / $2,612.00 / $9,335.79	Facility		$40.88	$2,612.00	$9,335.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.71 / $56.38 / $97.36	Professional		$37.71	$56.38	$97.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.47 / $49.47 / $56.17	Professional		$49.47	$49.47	$56.17
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $56.45 / $84.11 / $193.05	Professional		$56.45	$84.11	$193.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.41 / $77.53 / $162.55	Professional		$44.41	$77.53	$162.55
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $55.86 / $93.18 / $95.16	Professional		$55.86	$93.18	$95.16
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $649.40 / $717.67 / $1,368.67	Facility		$649.40	$717.67	$1,368.67
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.88 / $67.45 / $140.10	Professional		$36.88	$67.45	$140.10
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 $49.58 / $77.09 / $181.98	Professional		$49.58	$77.09	$181.98