Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $91.20 / $281.84	Facility		$46.77	$91.20	$281.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.67 / $42.66 / $56.23	Professional		$34.67	$42.66	$56.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.18 / $28.18 / $28.84	Professional		$28.18	$28.18	$28.84
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $870.96 / $870.96	Facility		$870.96	$870.96	$870.96
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $35.48 / $66.07 / $112.20	Professional		$35.48	$66.07	$112.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $102.33 / $213.80	Facility		$45.71	$102.33	$213.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $45.71 / $67.61	Professional		$30.90	$45.71	$67.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $23.44 / $52.48	Professional		$18.62	$23.44	$52.48
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $46.77 / $9,549.93 / $25,118.86	Facility		$46.77	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.11 / $43.65 / $52.48	Professional		$33.11	$43.65	$52.48
United Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $46.77 / $95.50	Facility		$21.88	$46.77	$95.50
United Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.18 / $69.18	Professional		$18.62	$28.18	$69.18