Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $170.08 / $4,118.00 / $8,155.00	Facility		$170.08	$4,118.00	$8,155.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.44 / $164.91 / $266.57	Professional		$150.44	$164.91	$266.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.23 / $74.23 / $136.83	Professional		$74.23	$74.23	$136.83
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1,694.00 / $1,694.00 / $1,694.00	Professional		$1,694.00	$1,694.00	$1,694.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $133.60 / $236.21 / $517.28	Professional		$133.60	$236.21	$517.28
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $160.13 / $234.16 / $287.89	Professional		$160.13	$234.16	$287.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,173.32 / $4,611.96 / $9,366.62	Facility		$4,173.32	$4,611.96	$9,366.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.44 / $185.43 / $344.44	Professional		$129.44	$185.43	$344.44
United Facility/Professional Facility Modifier Low / Median / High Price $3,204.00 / $5,225.00 / $10,536.00	Facility		$3,204.00	$5,225.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $113.41 / $180.15 / $376.14	Professional		$113.41	$180.15	$376.14