Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.61 / $109.96 / $277.41	Facility		$38.61	$109.96	$277.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $33.58 / $34.94	Professional		$28.97	$33.58	$34.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.17 / $23.17 / $26.82	Professional		$23.17	$23.17	$26.82
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $99.33 / $361.80 / $17,213.21	Facility		$99.33	$361.80	$17,213.21
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $28.97 / $63.49 / $70.04	Professional		$28.97	$63.49	$70.04
Cigna Facility/Professional Facility Modifier Low / Median / High Price $26.98 / $85.17 / $176.97	Facility		$26.98	$85.17	$176.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $24.78 / $31.59 / $55.24	Professional		$24.78	$31.59	$55.24
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $17.77 / $22.79 / $38.61	Professional		$17.77	$22.79	$38.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.03 / $6,950.00 / $13,785.00	Facility		$27.03	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.03 / $27.03 / $37.09	Professional		$27.03	$27.03	$37.09
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.17 / $41.71	Professional		$16.22	$23.17	$41.71