Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.94 / $64.54 / $292.76	Facility		$27.94	$64.54	$292.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $24.96 / $32.64	Professional		$19.55	$24.96	$32.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.38 / $16.76 / $19.39	Professional		$8.38	$16.76	$19.39
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $293.19 / $1,313.05	Facility		$71.28	$293.19	$1,313.05
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $45.98 / $60.00	Professional		$15.37	$45.98	$60.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.52 / $61.35 / $128.03	Facility		$19.52	$61.35	$128.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.25 / $28.29 / $50.50	Professional		$18.25	$28.29	$50.50
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.85 / $16.48 / $31.56	Professional		$12.85	$16.48	$31.56
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.55 / $13,785.00 / $13,785.00	Facility		$19.55	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.55 / $19.55 / $25.67	Professional		$19.55	$19.55	$25.67
United Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $16.76 / $39.04	Professional		$11.18	$16.76	$39.04