Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $169.82 / $467.74	Facility		$95.50	$169.82	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $58.88 / $239.88	Professional		$53.70	$58.88	$239.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $44.67 / $52.48	Professional		$39.81	$44.67	$52.48
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $125.89 / $251.19	Professional		$56.23	$125.89	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $165.96 / $346.74	Facility		$72.44	$165.96	$346.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $75.86 / $107.15	Professional		$48.98	$75.86	$107.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $35.48 / $44.67	Professional		$30.20	$35.48	$44.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $74.13 / $10,715.19 / $25,703.96	Facility		$74.13	$10,715.19	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $66.07 / $81.28	Professional		$44.67	$66.07	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $74.13 / $154.88	Facility		$35.48	$74.13	$154.88
United Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $44.67 / $102.33	Professional		$30.20	$44.67	$102.33