Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.61 / $42.06 / $2,258.21	Facility		$24.61	$42.06	$2,258.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.26 / $18.80 / $40.02	Professional		$11.26	$18.80	$40.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.28 / $17.28 / $17.28	Professional		$17.28	$17.28	$17.28
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $18.80 / $18.80 / $28.20	Professional		$18.80	$18.80	$28.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.98 / $27.47 / $81.06	Professional		$11.98	$27.47	$81.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $22.80 / $30.15 / $55.79	Professional		$22.80	$30.15	$55.79
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.08 / $144.41 / $293.31	Facility		$139.08	$144.41	$293.31
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $19.96 / $56.43	Professional		$10.74	$19.96	$56.43
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 $16.27 / $30.26 / $67.00	Professional		$16.27	$30.26	$67.00