Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $199.53 / $380.19	Facility		$56.23	$199.53	$380.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $79.43 / $281.84	Professional		$51.29	$79.43	$281.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $46.77 / $57.54	Professional		$44.67	$46.77	$57.54
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $69.18 / $229.09	Professional		$42.66	$69.18	$229.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $54.95 / $79.43 / $107.15	Facility		$54.95	$79.43	$107.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.29 / $87.10 / $144.54	Professional		$51.29	$87.10	$144.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.18 / $72.44 / $100.00	Professional		$69.18	$72.44	$100.00
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $23.44 / $251.19 / $10,471.29	Facility		$23.44	$251.19	$10,471.29
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $66.07 / $144.54	Professional		$42.66	$66.07	$144.54
United Facility/Professional Facility Modifier Low / Median / High Price $43.65 / $87.10 / $199.53	Facility		$43.65	$87.10	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $45.71 / $70.79 / $120.23	Professional		$45.71	$70.79	$120.23