Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.48 / $93.33 / $407.38	Facility		$52.48	$93.33	$407.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $63.10 / $147.91	Professional		$50.12	$63.10	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $40.74 / $45.71	Professional		$35.48	$40.74	$45.71
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $69.18 / $154.88 / $562.34	Facility		$69.18	$154.88	$562.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $154.88 / $323.59	Facility		$81.28	$154.88	$323.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.77 / $67.61 / $162.18	Professional		$46.77	$67.61	$162.18
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $79.43 / $134.90	Professional		$48.98	$79.43	$134.90
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $10,471.29 / $25,118.86	Facility		$70.79	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.23 / $56.23 / $70.79	Professional		$56.23	$56.23	$70.79
United Facility/Professional Facility Modifier Low / Median / High Price $33.11 / $70.79 / $144.54	Facility		$33.11	$70.79	$144.54
United Facility/Professional Professional Modifier Low / Median / High Price $28.84 / $41.69 / $97.72	Professional		$28.84	$41.69	$97.72