Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $194.98 / $489.78 / $954.99	Facility		$194.98	$489.78	$954.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $158.49 / $177.83	Professional		$120.23	$158.49	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.20 / $91.20 / $91.20	Professional		$91.20	$91.20	$91.20
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $346.74	Professional		$114.82	$114.82	$346.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $151.36 / $338.84 / $707.95	Facility		$151.36	$338.84	$707.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $154.88 / $218.78	Professional		$81.28	$154.88	$218.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $72.44 / $91.20	Professional		$43.65	$72.44	$91.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $141.25 / $10,471.29 / $25,118.86	Facility		$141.25	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $134.90	Professional		$100.00	$100.00	$134.90
United Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $154.88 / $316.23	Facility		$72.44	$154.88	$316.23
United Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $91.20 / $158.49	Professional		$61.66	$91.20	$158.49