Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.17 / $3,658.90 / $8,155.00	Facility		$61.17	$3,658.90	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.36 / $115.03 / $189.57	Professional		$47.36	$115.03	$189.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.37 / $45.16 / $107.22	Professional		$44.37	$45.16	$107.22
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,341.75 / $1,341.75 / $1,341.75	Professional		$1,341.75	$1,341.75	$1,341.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.95 / $53.95 / $55.70	Facility		$53.95	$53.95	$55.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $112.27 / $271.79	Professional		$49.12	$112.27	$271.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $132.00 / $180.38 / $225.18	Professional		$132.00	$180.38	$225.18
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.24 / $125.73 / $234.95	Professional		$39.24	$125.73	$234.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,352.00 / $10,536.00	Facility		$1,516.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $95.52 / $162.11 / $340.34	Professional		$95.52	$162.11	$340.34