Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.28 / $136.50 / $449.56	Facility		$41.28	$136.50	$449.56
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.20 / $35.97 / $47.47	Professional		$32.20	$35.97	$47.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.38 / $20.64 / $28.66	Professional		$12.38	$20.64	$28.66
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $106.10 / $377.58 / $1,312.00	Facility		$106.10	$377.58	$1,312.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $68.92 / $74.84	Professional		$30.96	$68.92	$74.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $28.85 / $90.94 / $189.16	Facility		$28.85	$90.94	$189.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.53 / $33.71 / $59.37	Professional		$26.53	$33.71	$59.37
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.98 / $24.36 / $41.28	Professional		$18.98	$24.36	$41.28
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $28.90 / $8,702.00 / $13,785.00	Facility		$28.90	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $28.90 / $39.63	Professional		$28.90	$28.90	$39.63
United Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $24.77 / $57.67	Professional		$16.51	$24.77	$57.67