Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $173.78 / $426.58	Facility		$64.57	$173.78	$426.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.48 / $64.57 / $125.89	Professional		$52.48	$64.57	$125.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $75.86 / $75.86	Professional		$75.86	$75.86	$75.86
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $165.96 / $165.96 / $165.96	Professional		$165.96	$165.96	$165.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.86 / $69.18 / $141.25	Professional		$47.86	$69.18	$141.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $109.65 / $117.49 / $144.54	Professional		$109.65	$117.49	$144.54
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $323.59 / $446.68 / $812.83	Facility		$323.59	$446.68	$812.83
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.70 / $61.66 / $109.65	Professional		$53.70	$61.66	$109.65
United Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $67.61 / $70.79	Facility		$57.54	$67.61	$70.79
United Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $64.57 / $114.82	Professional		$48.98	$64.57	$114.82