Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.99 / $3,384.00 / $8,961.12	Facility		$94.99	$3,384.00	$8,961.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.52 / $265.58 / $477.28	Professional		$68.52	$265.58	$477.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.67 / $61.86 / $65.84	Professional		$57.67	$61.86	$65.84
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $122.51 / $122.51 / $122.51	Professional		$122.51	$122.51	$122.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $257.66 / $707.59	Professional		$77.45	$257.66	$707.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $475.33 / $659.34 / $809.90	Professional		$475.33	$659.34	$809.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,763.82 / $8,579.85 / $18,605.30	Facility		$7,763.82	$8,579.85	$18,605.30
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.69 / $358.11 / $594.20	Professional		$57.69	$358.11	$594.20
United Facility/Professional Facility Modifier Low / Median / High Price $3,885.00 / $8,305.00 / $14,121.00	Facility		$3,885.00	$8,305.00	$14,121.00
United Facility/Professional Professional Modifier Low / Median / High Price $285.74 / $399.12 / $904.42	Professional		$285.74	$399.12	$904.42