Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.60 / $107.78 / $419.18	Facility		$33.60	$107.78	$419.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.00 / $60.62 / $67.36	Professional		$50.00	$60.62	$67.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.42 / $40.42 / $46.78	Professional		$40.42	$40.42	$46.78
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $176.00 / $176.00 / $176.00	Facility		$176.00	$176.00	$176.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $50.52 / $107.05 / $122.16	Professional		$50.52	$107.05	$122.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $47.07 / $148.68 / $308.67	Facility		$47.07	$148.68	$308.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $65.45 / $96.54	Professional		$44.00	$65.45	$96.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $39.74 / $67.36	Professional		$30.99	$39.74	$67.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $47.15 / $8,702.00 / $13,785.00	Facility		$47.15	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.43 / $47.15 / $47.15	Professional		$39.43	$47.15	$47.15
United Facility/Professional Professional Modifier Low / Median / High Price $26.08 / $39.36 / $72.75	Professional		$26.08	$39.36	$72.75