Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.91 / $4,294.00 / $9,284.00	Facility		$142.91	$4,294.00	$9,284.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.63 / $153.47 / $248.50	Professional		$101.63	$153.47	$248.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $217.07 / $217.07 / $217.07	Professional		$217.07	$217.07	$217.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $405.45 / $405.45 / $405.45	Professional		$405.45	$405.45	$405.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.96 / $201.26 / $462.32	Professional		$112.96	$201.26	$462.32
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $193.93 / $262.89 / $347.90	Professional		$193.93	$262.89	$347.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,362.84 / $7,593.73 / $16,013.10	Facility		$6,362.84	$7,593.73	$16,013.10
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.97 / $177.01 / $306.55	Professional		$99.97	$177.01	$306.55
United Facility/Professional Facility Modifier Low / Median / High Price $1,941.00 / $4,700.00 / $7,579.00	Facility		$1,941.00	$4,700.00	$7,579.00
United Facility/Professional Professional Modifier Low / Median / High Price $120.47 / $184.60 / $398.23	Professional		$120.47	$184.60	$398.23