Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.18 / $78.84 / $366.77	Facility		$21.18	$78.84	$366.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.25 / $35.26 / $36.86	Professional		$30.25	$35.26	$36.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.45 / $24.45 / $28.30	Professional		$24.45	$24.45	$28.30
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $124.90 / $515.80 / $5,616.61	Facility		$124.90	$515.80	$5,616.61
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $67.23 / $73.91	Professional		$30.56	$67.23	$73.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.47 / $89.50 / $186.73	Facility		$28.47	$89.50	$186.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.21 / $33.29 / $58.34	Professional		$26.21	$33.29	$58.34
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.75 / $24.04 / $40.75	Professional		$18.75	$24.04	$40.75
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.53 / $8,702.00 / $13,785.00	Facility		$28.53	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.53 / $28.53 / $39.13	Professional		$28.53	$28.53	$39.13
United Facility/Professional Professional Modifier Low / Median / High Price $17.12 / $24.45 / $56.94	Professional		$17.12	$24.45	$56.94