Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.96 / $4,134.00 / $8,084.00	Facility		$49.96	$4,134.00	$8,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.14 / $125.49 / $194.21	Professional		$29.14	$125.49	$194.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $26.50 / $26.50	Professional		$26.50	$26.50	$26.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $82.09 / $289.58	Professional		$30.15	$82.09	$289.58
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $156.38 / $216.41 / $265.92	Professional		$156.38	$216.41	$265.92
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $587.66 / $587.66 / $1,120.74	Facility		$587.66	$587.66	$1,120.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.96 / $141.07 / $256.02	Professional		$24.96	$141.07	$256.02
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 $104.48 / $163.03 / $364.81	Professional		$104.48	$163.03	$364.81