Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.55 / $3,057.00 / $6,153.00	Facility		$320.55	$3,057.00	$6,153.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.54 / $254.97 / $423.97	Professional		$86.54	$254.97	$423.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $82.05 / $82.05	Professional		$82.05	$82.05	$82.05
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $2,762.50 / $7,431.00 / $11,263.91	Facility		$2,762.50	$7,431.00	$11,263.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.24 / $253.40 / $633.11	Professional		$93.24	$253.40	$633.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $303.89 / $411.96 / $546.19	Professional		$303.89	$411.96	$546.19
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,564.48 / $3,939.13 / $6,991.24	Facility		$3,564.48	$3,939.13	$6,991.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.44 / $286.36 / $526.53	Professional		$77.44	$286.36	$526.53
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 $203.91 / $339.81 / $767.64	Professional		$203.91	$339.81	$767.64