Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $54.04 / $145.41 / $448.58	Facility		$54.04	$145.41	$448.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $54.11 / $66.92	Professional		$53.71	$54.11	$66.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.92 / $44.92 / $51.99	Professional		$44.92	$44.92	$51.99
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $125.97 / $253.19	Professional		$56.15	$125.97	$253.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $73.18 / $165.28 / $343.03	Facility		$73.18	$165.28	$343.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.28 / $54.59 / $87.34	Professional		$45.28	$54.59	$87.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $29.94 / $41.17 / $59.89	Professional		$29.94	$41.17	$59.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $68.80 / $68.80 / $68.80	Professional		$68.80	$68.80	$68.80
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $44.92 / $84.84	Professional		$31.44	$44.92	$84.84