Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $649.79 / $3,487.91 / $5,747.00	Facility		$649.79	$3,487.91	$5,747.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.93 / $226.15 / $341.97	Professional		$99.93	$226.15	$341.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.73 / $101.73 / $101.73	Professional		$101.73	$101.73	$101.73
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,570.75 / $6,790.00 / $9,341.40	Facility		$1,570.75	$6,790.00	$9,341.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $182.10 / $415.06 / $880.00	Professional		$182.10	$415.06	$880.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.41 / $266.06 / $684.29	Professional		$122.41	$266.06	$684.29
Emblem Health Facility/Professional Facility Modifier Low / Median / High Price $8,161.00 / $8,161.00 / $8,161.00	Facility		$8,161.00	$8,161.00	$8,161.00
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $266.87 / $401.92 / $1,637.50	Professional		$266.87	$401.92	$1,637.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,358.71 / $1,621.54 / $3,650.97	Facility		$1,358.71	$1,621.54	$3,650.97
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $102.29 / $259.04 / $523.87	Professional		$102.29	$259.04	$523.87
United Facility/Professional Facility Modifier Low / Median / High Price $2,354.00 / $3,961.00 / $10,536.00	Facility		$2,354.00	$3,961.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $138.97 / $311.80 / $639.80	Professional		$138.97	$311.80	$639.80