Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.80 / $4,415.18 / $9,383.00	Facility		$125.80	$4,415.18	$9,383.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.92 / $1,331.35 / $1,831.81	Professional		$111.92	$1,331.35	$1,831.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,153.64 / $1,153.64 / $1,153.64	Professional		$1,153.64	$1,153.64	$1,153.64
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,763.40 / $1,763.40 / $1,763.40	Professional		$1,763.40	$1,763.40	$1,763.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.41 / $384.77 / $4,270.41	Professional		$128.41	$384.77	$4,270.41
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $218.17 / $1,995.66 / $2,286.69	Professional		$218.17	$1,995.66	$2,286.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,447.22 / $4,447.22 / $9,032.07	Facility		$4,447.22	$4,447.22	$9,032.07
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $96.21 / $1,407.45 / $2,505.17	Professional		$96.21	$1,407.45	$2,505.17
United Facility/Professional Facility Modifier Low / Median / High Price $3,705.00 / $5,265.00 / $10,536.00	Facility		$3,705.00	$5,265.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,144.73 / $1,962.55 / $4,583.22	Professional		$1,144.73	$1,962.55	$4,583.22