Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.72 / $119.90 / $306.20	Facility		$44.72	$119.90	$306.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.11 / $52.70 / $61.98	Professional		$50.11	$52.70	$61.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $29.54 / $37.19 / $43.04	Professional		$29.54	$37.19	$43.04
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $119.37 / $372.81 / $1,632.74	Facility		$119.37	$372.81	$1,632.74
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $46.49 / $102.04 / $147.72	Professional		$46.49	$102.04	$147.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.31 / $136.41 / $284.01	Facility		$43.31	$136.41	$284.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $50.68 / $89.31	Professional		$39.72	$50.68	$89.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $28.51 / $36.57 / $50.50	Professional		$28.51	$36.57	$50.50
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.39 / $13,785.00 / $13,785.00	Facility		$43.39	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.39 / $43.39 / $43.39	Professional		$43.39	$43.39	$43.39
United Facility/Professional Facility Modifier Low / Median / High Price $34.09 / $34.09 / $34.09	Facility		$34.09	$34.09	$34.09
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $37.19 / $91.82	Professional		$26.03	$37.19	$91.82