Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.48 / $42.87 / $220.04	Facility		$30.48	$42.87	$220.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $22.81 / $28.07 / $41.98	Professional		$22.81	$28.07	$41.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.55 / $17.55 / $17.55	Professional		$17.55	$17.55	$17.55
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $95.20 / $136.00 / $233.60	Facility		$95.20	$136.00	$233.60
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.75 / $19.30 / $221.23	Professional		$9.75	$19.30	$221.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $34.29 / $77.23 / $160.79	Facility		$34.29	$77.23	$160.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $47.61 / $97.97	Professional		$30.91	$47.61	$97.97
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $36.84 / $50.88	Professional		$24.56	$36.84	$50.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $24.56 / $8,702.00 / $13,785.00	Facility		$24.56	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.56 / $24.56 / $24.56	Professional		$24.56	$24.56	$24.56
United Facility/Professional Facility Modifier Low / Median / High Price $19.30 / $19.30 / $39.00	Facility		$19.30	$19.30	$39.00
United Facility/Professional Professional Modifier Low / Median / High Price $16.20 / $23.14 / $49.04	Professional		$16.20	$23.14	$49.04