Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.29 / $13,307.51 / $26,780.34	Facility		$60.29	$13,307.51	$26,780.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $76.56	Professional		$60.29	$60.29	$76.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $70.27	Professional		$60.29	$60.29	$70.27
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $159.35 / $159.35 / $159.35	Facility		$159.35	$159.35	$159.35
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $50.26 / $50.26 / $59.71	Professional		$50.26	$50.26	$59.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.88 / $63.12 / $81.69	Facility		$56.88	$63.12	$81.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $62.57	Professional		$60.29	$60.29	$62.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $57.45 / $73.55	Professional		$57.45	$57.45	$73.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $103.76 / $142.44 / $13,785.00	Facility		$103.76	$142.44	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.80 / $57.46 / $58.23	Professional		$52.80	$57.46	$58.23
United Facility/Professional Facility Modifier Low / Median / High Price $51.35 / $51.35 / $72.41	Facility		$51.35	$51.35	$72.41
United Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $63.70 / $71.88	Professional		$60.29	$63.70	$71.88