Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.05 / $2,942.00 / $8,084.00	Facility		$154.05	$2,942.00	$8,084.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.94 / $154.05 / $264.61	Professional		$123.94	$154.05	$264.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $182.30 / $182.30 / $182.30	Professional		$182.30	$182.30	$182.30
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $151.52 / $246.53 / $456.90	Professional		$151.52	$246.53	$456.90
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 $138.29 / $222.10 / $439.53	Professional		$138.29	$222.10	$439.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $195.59 / $256.22 / $313.08	Professional		$195.59	$256.22	$313.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $669.21 / $739.55 / $1,410.38	Facility		$669.21	$739.55	$1,410.38
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.57 / $173.14 / $280.31	Professional		$109.57	$173.14	$280.31
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $153.10 / $215.84 / $371.91	Professional		$153.10	$215.84	$371.91