Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.18 / $287.04 / $842.14	Facility		$45.18	$287.04	$842.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $23.94 / $31.19	Professional		$18.07	$23.94	$31.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $46.86 / $46.86	Professional		$26.06	$46.86	$46.86
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $58.39 / $469.40 / $10,026.86	Facility		$58.39	$469.40	$10,026.86
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $16.80 / $62.00	Professional		$13.08	$16.80	$62.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.35 / $90.22 / $138.06	Facility		$29.35	$90.22	$138.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.93 / $20.11 / $44.04	Professional		$14.93	$20.11	$44.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $14.24 / $17.29 / $22.18	Professional		$14.24	$17.29	$22.18
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.17 / $994.34 / $13,785.00	Facility		$35.17	$994.34	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.15 / $47.58 / $57.99	Professional		$24.15	$47.58	$57.99
United Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $21.89 / $49.03	Professional		$10.64	$21.89	$49.03