Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $128.82 / $588.84	Facility		$97.72	$128.82	$588.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $77.62 / $120.23	Professional		$47.86	$77.62	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $41.69 / $41.69	Professional		$41.69	$41.69	$41.69
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $95.50 / $218.78 / $446.68	Facility		$95.50	$218.78	$446.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $72.44 / $141.25	Professional		$48.98	$72.44	$141.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $48.98 / $72.44	Professional		$38.90	$48.98	$72.44
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.72 / $9,332.54 / $25,118.86	Facility		$97.72	$9,332.54	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $58.88 / $87.10	Professional		$58.88	$58.88	$87.10
United Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $97.72 / $199.53	Facility		$45.71	$97.72	$199.53
United Facility/Professional Professional Modifier Low / Median / High Price $38.90 / $58.88 / $100.00	Professional		$38.90	$58.88	$100.00