Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.66 / $89.13 / $275.42	Professional		$61.66	$89.13	$275.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.49 / $117.49 / $117.49	Professional		$117.49	$117.49	$117.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $114.82 / $134.90	Professional		$114.82	$114.82	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.67 / $69.18 / $138.04	Professional		$44.67	$69.18	$138.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $70.79 / $112.20 / $141.25	Professional		$70.79	$112.20	$141.25
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $16,218.10 / $19,498.45	Facility		$524.81	$16,218.10	$19,498.45
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.61 / $112.20 / $181.97	Professional		$67.61	$112.20	$181.97
United Facility/Professional Professional Modifier Low / Median / High Price $36.31 / $69.18 / $123.03	Professional		$36.31	$69.18	$123.03