Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.76 / $74.33 / $249.87	Facility		$17.76	$74.33	$249.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.76 / $20.45 / $20.81	Professional		$17.76	$20.45	$20.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $15.93 / $15.93	Professional		$13.76	$15.93	$15.93
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $59.07 / $219.20 / $2,967.68	Facility		$59.07	$219.20	$2,967.68
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $17.21 / $35.31 / $43.40	Professional		$17.21	$35.31	$43.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.03 / $50.52 / $105.12	Facility		$16.03	$50.52	$105.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $18.87 / $33.04	Professional		$14.78	$18.87	$33.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.49 / $12.62 / $18.35	Professional		$9.49	$12.62	$18.35
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $13,785.00 / $13,785.00	Facility		$16.05	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.05 / $16.05 / $21.08	Professional		$16.05	$16.05	$21.08
United Facility/Professional Professional Modifier Low / Median / High Price $9.63 / $13.40 / $26.00	Professional		$9.63	$13.40	$26.00