Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.00 / $1,454.00 / $6,628.00	Facility		$133.00	$1,454.00	$6,628.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $122.65 / $293.95	Professional		$52.31	$122.65	$293.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.38 / $55.01 / $260.86	Professional		$48.38	$55.01	$260.86
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $756.98 / $8,013.00 / $14,101.23	Facility		$756.98	$8,013.00	$14,101.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $223.55 / $294.77 / $481.32	Professional		$223.55	$294.77	$481.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $160.02 / $160.02 / $309.45	Facility		$160.02	$160.02	$309.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $139.71 / $352.61	Professional		$56.88	$139.71	$352.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $273.67 / $378.25 / $971.29	Professional		$273.67	$378.25	$971.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.12 / $168.27 / $286.98	Professional		$47.12	$168.27	$286.98
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 $156.86 / $237.24 / $486.42	Professional		$156.86	$237.24	$486.42