Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.37 / $36.61 / $48.83	Facility		$15.37	$36.61	$48.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.01 / $36.36 / $51.35	Professional		$16.01	$36.36	$51.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.74 / $36.45 / $37.78	Professional		$34.74	$36.45	$37.78
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $31.37 / $40.43 / $1,624.75	Professional		$31.37	$40.43	$1,624.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $26.00 / $45.00 / $65.53	Professional		$26.00	$45.00	$65.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $47.24 / $55.39 / $75.00	Professional		$47.24	$55.39	$75.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.62 / $42.88 / $73.70	Professional		$30.62	$42.88	$73.70
United Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $42.63 / $82.93	Professional		$30.73	$42.63	$82.93