Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.29 / $141.25 / $467.74	Facility		$51.29	$141.25	$467.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $38.90 / $66.07	Professional		$35.48	$38.90	$66.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.12 / $28.84 / $33.11	Professional		$25.12	$28.84	$33.11
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $120.23 / $407.38 / $4,677.35	Facility		$120.23	$407.38	$4,677.35
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $35.48 / $79.43	Professional		$15.85	$35.48	$79.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $104.71 / $218.78	Facility		$46.77	$104.71	$218.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.20 / $52.48 / $72.44	Professional		$30.20	$52.48	$72.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $23.99 / $53.70	Professional		$19.05	$23.99	$53.70
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.86 / $10,715.19 / $25,703.96	Facility		$47.86	$10,715.19	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.69 / $43.65 / $53.70	Professional		$41.69	$43.65	$53.70
United Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $47.86 / $97.72	Facility		$22.39	$47.86	$97.72
United Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $28.84 / $69.18	Professional		$19.05	$28.84	$69.18