Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.09 / $2,384.00 / $7,762.00	Facility		$66.09	$2,384.00	$7,762.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.02 / $74.84 / $156.26	Professional		$47.02	$74.84	$156.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.23 / $119.23 / $119.23	Professional		$119.23	$119.23	$119.23
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $756.98 / $8,618.00 / $15,904.00	Facility		$756.98	$8,618.00	$15,904.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $46.33 / $82.51 / $145.72	Professional		$46.33	$82.51	$145.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.89 / $106.79 / $213.36	Professional		$52.89	$106.79	$213.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $163.16 / $200.97	Professional		$92.03	$163.16	$200.97
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.85 / $88.05 / $141.35	Professional		$41.85	$88.05	$141.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,341.00 / $2,626.00 / $5,864.00	Facility		$1,341.00	$2,626.00	$5,864.00
United Facility/Professional Professional Modifier Low / Median / High Price $88.59 / $127.39 / $212.07	Professional		$88.59	$127.39	$212.07