Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.75 / $420.93 / $2,741.00	Facility		$70.75	$420.93	$2,741.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.13 / $66.62 / $111.96	Professional		$45.13	$66.62	$111.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $68.56 / $68.56	Professional		$68.56	$68.56	$68.56
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $468.74 / $12,588.25 / $17,478.71	Facility		$468.74	$12,588.25	$17,478.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.74 / $88.18 / $183.60	Professional		$52.74	$88.18	$183.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $63.70 / $100.17 / $119.74	Professional		$63.70	$100.17	$119.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.80 / $369.48 / $731.62	Facility		$319.80	$369.48	$731.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $75.06 / $148.27	Professional		$46.18	$75.06	$148.27
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 $57.45 / $92.16 / $211.24	Professional		$57.45	$92.16	$211.24