Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $123.03 / $389.05	Facility		$67.61	$123.03	$389.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $61.66 / $120.23	Professional		$50.12	$61.66	$120.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.36 / $40.74 / $46.77	Professional		$32.36	$40.74	$46.77
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $177.83 / $177.83 / $177.83	Facility		$177.83	$177.83	$177.83
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $50.12 / $107.15 / $123.03	Professional		$50.12	$107.15	$123.03
Cigna Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $147.91 / $309.03	Facility		$66.07	$147.91	$309.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.65 / $74.13 / $102.33	Professional		$43.65	$74.13	$102.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $33.88 / $75.86	Professional		$26.92	$33.88	$75.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.61 / $10,471.29 / $25,118.86	Facility		$67.61	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.81 / $39.81 / $58.88	Professional		$39.81	$39.81	$58.88
United Facility/Professional Facility Modifier Low / Median / High Price $31.62 / $67.61 / $138.04	Facility		$31.62	$67.61	$138.04
United Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $40.74 / $93.33	Professional		$26.92	$40.74	$93.33