Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.02 / $162.18 / $891.25	Facility		$38.02	$162.18	$891.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $26.92 / $63.10 / $147.91	Professional		$26.92	$63.10	$147.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.38 / $21.88 / $21.88	Professional		$17.38	$21.88	$21.88
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $229.09 / $436.52	Facility		$45.71	$229.09	$436.52
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $28.84 / $31.62	Professional		$13.49	$28.84	$31.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.74 / $77.62 / $162.18	Facility		$40.74	$77.62	$162.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $23.44 / $40.74 / $79.43	Professional		$23.44	$40.74	$79.43
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $39.81 / $66.07	Professional		$24.55	$39.81	$66.07
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $9,549.93 / $25,118.86	Facility		$35.48	$9,549.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.54 / $27.54 / $35.48	Professional		$27.54	$27.54	$35.48
United Facility/Professional Facility Modifier Low / Median / High Price $16.60 / $35.48 / $72.44	Facility		$16.60	$35.48	$72.44
United Facility/Professional Professional Modifier Low / Median / High Price $14.13 / $20.89 / $48.98	Professional		$14.13	$20.89	$48.98