Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.43 / $1,403.32 / $7,918.00	Facility		$66.43	$1,403.32	$7,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $89.24 / $154.79	Professional		$38.74	$89.24	$154.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $33.09 / $64.52	Professional		$32.02	$33.09	$64.52
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $620.50 / $620.50 / $620.50	Facility		$620.50	$620.50	$620.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $128.77 / $133.01 / $315.52	Facility		$128.77	$133.01	$315.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $106.93 / $218.53	Professional		$36.40	$106.93	$218.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $187.15 / $230.49	Professional		$135.72	$187.15	$230.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $493.34 / $512.24 / $1,040.31	Facility		$493.34	$512.24	$1,040.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.89 / $110.86 / $197.04	Professional		$29.89	$110.86	$197.04
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 $112.99 / $144.04 / $309.25	Professional		$112.99	$144.04	$309.25