Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $223.87 / $4,786.30 / $10,000.00	Facility		$223.87	$4,786.30	$10,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.57 / $234.42 / $776.25	Professional		$64.57	$234.42	$776.25
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $70.79 / $190.55 / $208.93	Professional	52	$70.79	$190.55	$208.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $125.89 / $229.09	Professional		$58.88	$125.89	$229.09
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $204.17 / $602.56	Professional		$72.44	$204.17	$602.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $97.72 / $173.78 / $316.23	Professional		$97.72	$173.78	$316.23
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $630.96 / $977.24	Facility		$389.05	$630.96	$977.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $190.55 / $407.38	Professional		$50.12	$190.55	$407.38
United Facility/Professional Facility Modifier Low / Median / High Price $1,318.26 / $2,884.03 / $7,762.47	Facility		$1,318.26	$2,884.03	$7,762.47
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $141.25 / $338.84	Professional		$48.98	$141.25	$338.84