Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.10 / $54.57 / $168.62	Facility		$28.10	$54.57	$168.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.27 / $25.09 / $28.10	Professional		$18.27	$25.09	$28.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $19.51 / $19.51	Professional		$16.86	$19.51	$19.51
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $259.63 / $2,542.37	Facility		$71.28	$259.63	$2,542.37
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $21.08 / $43.90 / $50.96	Professional		$21.08	$43.90	$50.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $62.07 / $128.76	Facility		$19.64	$62.07	$128.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $22.90 / $40.27	Professional		$18.11	$22.90	$40.27
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $12.93 / $16.57 / $27.74	Professional		$12.93	$16.57	$27.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.67 / $8,702.00 / $13,785.00	Facility		$19.67	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.67 / $19.67 / $25.82	Professional		$19.67	$19.67	$25.82
United Facility/Professional Professional Modifier Low / Median / High Price $10.88 / $16.86 / $39.25	Professional		$10.88	$16.86	$39.25