Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $38.02 / $562.34	Facility		$30.20	$38.02	$562.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $36.31 / $56.23	Professional		$28.18	$36.31	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $30.20 / $36.31	Professional		$25.12	$30.20	$36.31
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $42.66 / $42.66 / $72.44	Professional		$42.66	$42.66	$72.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $38.90 / $61.66	Professional		$27.54	$38.90	$61.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $58.88 / $64.57 / $77.62	Professional		$58.88	$64.57	$77.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $812.83 / $1,023.29 / $2,041.74	Facility		$812.83	$1,023.29	$2,041.74
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.51 / $47.86 / $75.86	Professional		$29.51	$47.86	$75.86
United Facility/Professional Facility Modifier Low / Median / High Price $30.20 / $44.67 / $85.11	Facility		$30.20	$44.67	$85.11
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $41.69 / $75.86	Professional		$30.90	$41.69	$75.86