Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.98 / $124.68 / $284.16	Facility		$23.98	$124.68	$284.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.71 / $22.05 / $31.30	Professional		$14.71	$22.05	$31.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $16.32 / $16.32	Professional		$16.32	$16.32	$16.32
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $31.01 / $114.56 / $3,340.83	Facility		$31.01	$114.56	$3,340.83
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.91 / $7.91 / $48.56	Professional		$7.91	$7.91	$48.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.02 / $59.90 / $124.73	Facility		$19.02	$59.90	$124.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.16 / $20.69 / $31.39	Professional		$17.16	$20.69	$31.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.89 / $14.97 / $21.78	Professional		$10.89	$14.97	$21.78
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.05 / $13,785.00 / $13,785.00	Facility		$19.05	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $22.21	Professional		$19.05	$19.05	$22.21
United Facility/Professional Professional Modifier Low / Median / High Price $9.72 / $16.32 / $29.40	Professional		$9.72	$16.32	$29.40