Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $186.99 / $2,436.88 / $5,982.00	Facility		$186.99	$2,436.88	$5,982.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.14 / $122.88 / $207.95	Professional		$36.14	$122.88	$207.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.32 / $34.65 / $77.29	Professional		$17.32	$34.65	$77.29
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $756.98 / $6,790.00 / $11,089.07	Facility		$756.98	$6,790.00	$11,089.07
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $65.65 / $65.65 / $65.65	Professional		$65.65	$65.65	$65.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $41.43 / $41.43 / $44.90	Facility		$41.43	$41.43	$44.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $98.70 / $301.01	Professional		$38.11	$98.70	$301.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $203.42 / $281.52 / $346.22	Professional		$203.42	$281.52	$346.22
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.07 / $155.33 / $257.33	Professional		$31.07	$155.33	$257.33
United Facility/Professional Facility Modifier Low / Median / High Price $1,516.00 / $3,352.00 / $10,536.00	Facility		$1,516.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.73 / $172.87 / $375.07	Professional		$91.73	$172.87	$375.07