Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.74 / $189.10 / $586.11	Facility		$56.74	$189.10	$586.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.98 / $105.81 / $108.36	Professional		$101.98	$105.81	$108.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.48 / $76.48 / $76.48	Professional		$76.48	$76.48	$76.48
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $72.25 / $72.25 / $227.75	Facility		$72.25	$72.25	$227.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $91.12 / $107.20 / $117.92	Facility		$91.12	$107.20	$117.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $108.36 / $108.36	Professional		$108.36	$108.36	$108.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $139.68 / $139.68 / $151.62	Professional		$139.68	$139.68	$151.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.81 / $13,785.00 / $13,785.00	Facility		$105.81	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $61.61 / $108.36 / $108.36	Professional		$61.61	$108.36	$108.36
United Facility/Professional Professional Modifier Low / Median / High Price $106.24 / $106.24 / $111.55	Professional		$106.24	$106.24	$111.55