Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.63 / $174.87 / $425.90	Facility		$47.63	$174.87	$425.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.49 / $38.10 / $47.63	Professional		$36.49	$38.10	$47.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.58 / $31.76 / $33.08	Professional		$28.58	$31.76	$33.08
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $108.74 / $409.86 / $6,798.04	Facility		$108.74	$409.86	$6,798.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.00 / $35.72 / $80.19	Professional		$16.00	$35.72	$80.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $33.29 / $104.65 / $218.26	Facility		$33.29	$104.65	$218.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $41.35 / $68.15	Professional		$30.50	$41.35	$68.15
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $26.20 / $38.10	Professional		$19.05	$26.20	$38.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.34 / $8,702.00 / $13,785.00	Facility		$33.34	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $33.34 / $43.78	Professional		$33.34	$33.34	$43.78
United Facility/Professional Facility Modifier Low / Median / High Price $26.20 / $26.20 / $26.20	Facility		$26.20	$26.20	$26.20
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $28.58 / $66.54	Professional		$20.00	$28.58	$66.54