Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.33 / $112.52 / $677.04	Facility		$72.33	$112.52	$677.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $72.33 / $107.24	Professional		$61.78	$72.33	$107.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $67.11 / $92.60	Professional		$64.83	$67.11	$92.60
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $880.00 / $880.00 / $880.00	Facility		$880.00	$880.00	$880.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $71.97 / $117.00 / $187.00	Professional		$71.97	$117.00	$187.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $345.00 / $1,478.00 / $1,829.00	Facility		$345.00	$1,478.00	$1,829.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.70 / $90.77 / $154.07	Professional		$60.70	$90.77	$154.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $69.20 / $92.27 / $133.02	Professional		$69.20	$92.27	$133.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,418.16 / $1,701.16 / $1,701.16	Facility		$1,418.16	$1,701.16	$1,701.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $83.22 / $140.94	Professional		$58.38	$83.22	$140.94
United Facility/Professional Facility Modifier Low / Median / High Price $456.00 / $840.00 / $900.00	Facility		$456.00	$840.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $52.20 / $75.64 / $136.28	Professional		$52.20	$75.64	$136.28