Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.07 / $4,118.00 / $9,842.00	Facility		$42.07	$4,118.00	$9,842.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.10 / $44.12 / $76.09	Professional		$32.10	$44.12	$76.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $44.28 / $44.28	Professional		$44.28	$44.28	$44.28
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $47.57 / $74.04 / $74.33	Professional		$47.57	$74.04	$74.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.20 / $64.81 / $156.75	Professional		$38.20	$64.81	$156.75
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 $44.40 / $70.50 / $77.78	Professional		$44.40	$70.50	$77.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $717.67 / $1,368.67 / $1,556.24	Facility		$717.67	$1,368.67	$1,556.24
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.46 / $52.03 / $108.08	Professional		$28.46	$52.03	$108.08
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 $37.24 / $65.66 / $161.88	Professional		$37.24	$65.66	$161.88