Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.28 / $153.13 / $435.20	Facility		$26.28	$153.13	$435.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.00 / $24.84 / $37.04	Professional		$19.00	$24.84	$37.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $33.72 / $80.77	Professional		$9.63	$33.72	$80.77
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $57.24 / $263.49 / $1,406.70	Facility		$57.24	$263.49	$1,406.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $20.48 / $30.89 / $70.70	Professional		$20.48	$30.89	$70.70
Cigna Facility/Professional Facility Modifier Low / Median / High Price $20.39 / $87.33 / $140.18	Facility		$20.39	$87.33	$140.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.32 / $29.30 / $60.60	Professional		$21.32	$29.30	$60.60
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.81 / $28.10 / $28.50	Professional		$15.81	$28.10	$28.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.59 / $32.51 / $8,702.00	Facility		$24.59	$32.51	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.36 / $57.99 / $80.76	Professional		$31.36	$57.99	$80.76
United Facility/Professional Professional Modifier Low / Median / High Price $13.70 / $25.44 / $50.84	Professional		$13.70	$25.44	$50.84