Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.00 / $70.00 / $87.61	Facility		$57.00	$70.00	$87.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $65.72 / $87.61	Professional		$52.72	$65.72	$87.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.00 / $64.37 / $85.82	Professional		$45.00	$64.37	$85.82
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $80.62 / $194.97	Professional		$52.56	$80.62	$194.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.00 / $67.00 / $115.52	Professional		$48.00	$67.00	$115.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.00 / $117.57 / $118.49	Professional		$32.00	$117.57	$118.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $390.62 / $390.62 / $390.62	Facility		$390.62	$390.62	$390.62
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.08 / $74.78 / $105.81	Professional		$55.08	$74.78	$105.81
United Facility/Professional Professional Modifier Low / Median / High Price $51.92 / $70.78 / $124.80	Professional		$51.92	$70.78	$124.80