Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $83.02 / $347.77	Facility		$38.25	$83.02	$347.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.26 / $52.18 / $59.92	Professional		$38.26	$52.18	$59.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $43.31 / $43.31 / $43.31	Professional		$43.31	$43.31	$43.31
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $140.52 / $140.52 / $150.15	Professional		$140.52	$140.52	$150.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $50.44 / $158.78 / $330.80	Facility		$50.44	$158.78	$330.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.08 / $52.79 / $103.77	Professional		$34.08	$52.79	$103.77
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.88 / $39.70 / $57.75	Professional		$28.88	$39.70	$57.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,950.00 / $13,785.00 / $13,785.00	Facility		$6,950.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.02 / $54.02 / $57.75	Professional		$54.02	$54.02	$57.75
United Facility/Professional Professional Modifier Low / Median / High Price $27.95 / $43.31 / $73.98	Professional		$27.95	$43.31	$73.98