Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.92 / $114.82 / $776.25	Facility		$26.92	$114.82	$776.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.14 / $58.88 / $147.91	Professional		$15.14	$58.88	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.96 / $17.78	Professional		$10.72	$10.96	$17.78
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $114.82 / $151.36 / $2,398.83	Facility		$114.82	$151.36	$2,398.83
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $13.49 / $42.66	Professional		$7.94	$13.49	$42.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $39.81 / $81.28	Facility		$17.38	$39.81	$81.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $18.20 / $27.54	Professional		$11.75	$18.20	$27.54
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.25 / $8.51 / $20.42	Professional		$5.25	$8.51	$20.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $10,471.29 / $25,118.86	Facility		$17.78	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.85 / $16.60 / $19.95	Professional		$15.85	$16.60	$19.95
United Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $17.78 / $37.15	Facility		$8.51	$17.78	$37.15
United Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $10.72 / $26.30	Professional		$7.24	$10.72	$26.30