Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $267.38 / $2,297.00 / $7,918.00	Facility		$267.38	$2,297.00	$7,918.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $233.18 / $423.83 / $772.26	Professional		$233.18	$423.83	$772.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $332.49 / $332.49 / $332.49	Professional		$332.49	$332.49	$332.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $571.55 / $571.55 / $1,309.00	Professional		$571.55	$571.55	$1,309.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $3,438.00 / $3,438.00 / $3,438.00	Facility		$3,438.00	$3,438.00	$3,438.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $252.27 / $483.08 / $1,017.24	Professional		$252.27	$483.08	$1,017.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $210.00 / $458.16 / $835.83	Professional		$210.00	$458.16	$835.83
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,313.34 / $2,866.57 / $5,821.85	Facility		$2,313.34	$2,866.57	$5,821.85
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $208.29 / $471.67 / $809.76	Professional		$208.29	$471.67	$809.76
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 $339.91 / $534.07 / $1,164.98	Professional		$339.91	$534.07	$1,164.98