Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.26 / $102.55 / $360.84	Facility		$39.26	$102.55	$360.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.45 / $30.77 / $39.26	Professional		$29.45	$30.77	$39.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.63 / $23.56 / $26.01	Professional		$19.63	$23.56	$26.01
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $95.20 / $227.94 / $383.40	Facility		$95.20	$227.94	$383.40
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $29.45 / $61.56	Professional		$9.88	$29.45	$61.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.43 / $86.61 / $179.90	Facility		$27.43	$86.61	$179.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.77 / $27.78 / $56.27	Professional		$21.77	$27.78	$56.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $23.16 / $34.40	Professional		$18.05	$23.16	$34.40
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.48 / $13,785.00 / $13,785.00	Facility		$27.48	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.48 / $27.48 / $30.83	Professional		$27.48	$27.48	$30.83
United Facility/Professional Facility Modifier Low / Median / High Price $35.33 / $35.33 / $47.11	Facility		$35.33	$35.33	$47.11
United Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $23.56 / $48.89	Professional		$15.20	$23.56	$48.89