Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $37.77 / $140.72 / $618.53	Facility		$37.77	$140.72	$618.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.30 / $56.40 / $64.65	Professional		$42.30	$56.40	$64.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.78 / $31.07 / $38.79	Professional		$16.78	$31.07	$38.79
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $69.88 / $229.74 / $4,635.00	Facility		$69.88	$229.74	$4,635.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $55.93 / $275.00	Professional		$7.50	$55.93	$275.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.74 / $137.13 / $284.75	Facility		$60.74	$137.13	$284.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.93 / $38.04 / $71.45	Professional		$32.93	$38.04	$71.45
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.58 / $31.07 / $37.28	Professional		$7.58	$31.07	$37.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $62.14 / $13,785.00 / $13,785.00	Facility		$62.14	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.88 / $51.88 / $63.85	Professional		$51.88	$51.88	$63.85
United Facility/Professional Professional Modifier Low / Median / High Price $26.10 / $37.28 / $86.19	Professional		$26.10	$37.28	$86.19