Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.00 / $85.64 / $293.61	Facility		$50.00	$85.64	$293.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.11 / $62.85 / $83.96	Professional		$52.11	$62.85	$83.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $35.10 / $35.10	Professional		$35.10	$35.10	$35.10
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $80.03 / $329.16 / $4,861.06	Facility		$80.03	$329.16	$4,861.06
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $154.44 / $321.68	Facility		$68.81	$154.44	$321.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.38 / $72.73 / $195.93	Professional		$46.38	$72.73	$195.93
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $73.70 / $101.79	Professional		$49.14	$73.70	$101.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $49.14 / $8,702.00 / $13,785.00	Facility		$49.14	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.14 / $49.14 / $49.14	Professional		$49.14	$49.14	$49.14
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $42.12 / $84.24	Professional		$29.48	$42.12	$84.24