Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $74.30 / $3,259.00 / $9,784.00	Facility		$74.30	$3,259.00	$9,784.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.13 / $79.89 / $126.20	Professional		$62.13	$79.89	$126.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.02 / $79.02 / $79.02	Professional		$79.02	$79.02	$79.02
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $87.70 / $87.70 / $87.70	Professional		$87.70	$87.70	$87.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.55 / $117.00 / $281.75	Professional		$72.55	$117.00	$281.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.22 / $115.82 / $144.28	Professional		$80.22	$115.82	$144.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $579.15 / $657.72 / $1,457.55	Facility		$579.15	$657.72	$1,457.55
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.96 / $99.08 / $187.55	Professional		$55.96	$99.08	$187.55
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 $62.88 / $119.41 / $241.42	Professional		$62.88	$119.41	$241.42