Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.30 / $131.83 / $275.42	Facility		$26.30	$131.83	$275.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $25.70 / $83.18	Professional		$19.05	$25.70	$83.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.98 / $22.91 / $79.43	Professional		$16.98	$22.91	$79.43
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $57.54 / $57.54 / $616.60	Facility		$57.54	$57.54	$616.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $50.12 / $70.79	Professional		$30.90	$50.12	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $36.31 / $87.10 / $131.83	Facility		$36.31	$87.10	$131.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $29.51 / $58.88	Professional		$22.39	$29.51	$58.88
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $15.85 / $15.85	Professional		$15.85	$15.85	$15.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $10,471.29 / $25,703.96	Facility		$45.71	$10,471.29	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $57.54 / $81.28	Professional		$30.20	$57.54	$81.28
United Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $40.74 / $93.33	Facility		$19.05	$40.74	$93.33
United Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $26.92 / $51.29	Professional		$16.60	$26.92	$51.29