Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.43 / $171.86 / $2,634.00	Facility		$34.43	$171.86	$2,634.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $26.75 / $44.43	Professional		$17.47	$26.75	$44.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.97 / $26.80 / $29.19	Professional		$24.97	$26.80	$29.19
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.68 / $27.36 / $100.00	Professional		$13.68	$27.36	$100.00
AmeriHealth Facility/Professional Professional Modifier 50 Low / Median / High Price $20.52 / $20.52 / $41.39	Professional	50	$20.52	$20.52	$41.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.69 / $38.07 / $89.33	Professional		$17.69	$38.07	$89.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $32.79 / $43.30 / $58.04	Professional		$32.79	$43.30	$58.04
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $309.58 / $319.80 / $436.16	Facility		$309.58	$319.80	$436.16
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $29.89 / $66.64	Professional		$16.57	$29.89	$66.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,529.00 / $3,352.00 / $10,536.00	Facility		$1,529.00	$3,352.00	$10,536.00
United Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $39.10 / $89.21	Professional		$25.12	$39.10	$89.21