Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $36.36 / $80.75 / $278.12	Facility		$36.36	$80.75	$278.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.36 / $42.28 / $44.63	Professional		$36.36	$42.28	$44.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $22.39 / $28.19 / $32.63	Professional		$22.39	$28.19	$32.63
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $113.40 / $420.70 / $1,391.90	Facility		$113.40	$420.70	$1,391.90
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $66.50 / $111.99	Professional		$35.24	$66.50	$111.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.83 / $103.21 / $215.28	Facility		$32.83	$103.21	$215.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.19 / $38.38 / $67.63	Professional		$30.19	$38.38	$67.63
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $21.61 / $27.72 / $46.98	Professional		$21.61	$27.72	$46.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.89 / $13,785.00 / $13,785.00	Facility		$32.89	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.89 / $32.89 / $45.12	Professional		$32.89	$32.89	$45.12
United Facility/Professional Professional Modifier Low / Median / High Price $18.79 / $28.19 / $53.24	Professional		$18.79	$28.19	$53.24