Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.00 / $80.27 / $178.81	Facility		$66.00	$80.27	$178.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $73.31	Professional		$66.00	$66.00	$73.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.28 / $65.28 / $65.28	Professional		$65.28	$65.28	$65.28
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $98.74 / $98.74 / $98.74	Facility		$98.74	$98.74	$98.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.13 / $70.31 / $90.99	Facility		$65.13	$70.31	$90.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $66.00 / $68.48	Professional		$66.00	$66.00	$68.48
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $71.59 / $82.56	Professional		$68.48	$71.59	$82.56
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.28 / $154.91 / $13,785.00	Facility		$65.28	$154.91	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.36 / $65.25 / $65.28	Professional		$64.36	$65.25	$65.28
United Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $69.63 / $79.20	Professional		$66.00	$69.63	$79.20