Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.26 / $74.61 / $273.47	Facility		$38.26	$74.61	$273.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.83 / $37.77 / $46.06	Professional		$34.83	$37.77	$46.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.69 / $28.69 / $33.20	Professional		$28.69	$28.69	$33.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $35.86 / $35.86 / $76.98	Professional		$35.86	$35.86	$76.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $105.37 / $219.08	Facility		$33.40	$105.37	$219.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $37.22 / $68.66	Professional		$27.56	$37.22	$68.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $26.30 / $38.25	Professional		$19.12	$26.30	$38.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.47 / $8,702.00 / $13,785.00	Facility		$33.47	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.47 / $33.47 / $42.33	Professional		$33.47	$33.47	$42.33
United Facility/Professional Professional Modifier Low / Median / High Price $19.12 / $28.69 / $63.22	Professional		$19.12	$28.69	$63.22