Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $25.45 / $87.04 / $377.11	Facility		$25.45	$87.04	$377.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.68 / $56.43 / $69.23	Professional		$19.68	$56.43	$69.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.13 / $15.27	Professional		$12.13	$12.13	$15.27
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $58.65 / $153.43 / $2,644.62	Facility		$58.65	$153.43	$2,644.62
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $19.09 / $34.00 / $60.64	Professional		$19.09	$34.00	$60.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $56.30 / $116.62	Facility		$17.78	$56.30	$116.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $19.55 / $29.57	Professional		$16.36	$19.55	$29.57
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $14.00 / $20.36	Professional		$10.18	$14.00	$20.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $8,702.00 / $13,785.00	Facility		$17.82	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $17.82 / $23.10	Professional		$17.82	$17.82	$23.10
United Facility/Professional Professional Modifier Low / Median / High Price $10.69 / $15.27 / $31.30	Professional		$10.69	$15.27	$31.30