Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $26.64 / $69.25 / $329.00	Facility		$26.64	$69.25	$329.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.17 / $26.30 / $32.63	Professional		$25.17	$26.30	$32.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $24.37 / $24.37	Professional		$21.05	$24.37	$24.37
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $56.15 / $207.41 / $11,888.04	Facility		$56.15	$207.41	$11,888.04
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $57.54 / $66.92	Professional		$29.12	$57.54	$66.92
Cigna Facility/Professional Facility Modifier Low / Median / High Price $24.52 / $77.23 / $160.79	Facility		$24.52	$77.23	$160.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.60 / $35.19 / $71.25	Professional		$18.60	$35.19	$71.25
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $16.14 / $24.56 / $46.74	Professional		$16.14	$24.56	$46.74
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $13,785.00 / $13,785.00	Facility		$24.56	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $24.56 / $37.70	Professional		$24.56	$24.56	$37.70
United Facility/Professional Professional Modifier Low / Median / High Price $14.04 / $21.05 / $39.77	Professional		$14.04	$21.05	$39.77