Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $67.61 / $316.23	Facility		$31.62	$67.61	$316.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $20.89 / $26.30 / $75.86	Professional		$20.89	$26.30	$75.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.59 / $17.78 / $29.51	Professional		$12.59	$17.78	$29.51
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $331.13 / $446.68	Facility		$91.20	$331.13	$446.68
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $39.81 / $173.78	Professional		$22.39	$39.81	$173.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.84 / $64.57 / $134.90	Facility		$28.84	$64.57	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $30.20 / $44.67	Professional		$19.50	$30.20	$44.67
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.79 / $33.11	Professional		$11.75	$14.79	$33.11
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.51 / $10,715.19 / $25,118.86	Facility		$29.51	$10,715.19	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.78 / $26.92 / $33.11	Professional		$17.78	$26.92	$33.11
United Facility/Professional Facility Modifier Low / Median / High Price $13.80 / $29.51 / $60.26	Facility		$13.80	$29.51	$60.26
United Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $17.78 / $43.65	Professional		$11.75	$17.78	$43.65