Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.33 / $138.04 / $9,549.93	Facility		$93.33	$138.04	$9,549.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $173.78	Professional		$72.44	$77.62	$173.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $74.13 / $77.62	Professional		$72.44	$74.13	$77.62
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $251.19 / $251.19 / $251.19	Facility		$251.19	$251.19	$251.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.44 / $85.11 / $109.65	Facility		$72.44	$85.11	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.13 / $74.13 / $74.13	Professional		$74.13	$74.13	$74.13
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $77.62 / $77.62 / $91.20	Professional		$77.62	$77.62	$91.20
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.04 / $9,549.93 / $25,118.86	Facility		$138.04	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $72.44 / $72.44	Professional		$72.44	$72.44	$72.44
United Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $89.13 / $134.90	Facility		$66.07	$89.13	$134.90
United Facility/Professional Professional Modifier Low / Median / High Price $72.44 / $77.62 / $85.11	Professional		$72.44	$77.62	$85.11