Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.48 / $140.25 / $2,360.33	Facility		$16.48	$140.25	$2,360.33
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $24.93 / $60.70	Professional		$11.33	$24.93	$60.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $20.22 / $20.84	Professional		$12.64	$20.22	$20.84
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $352.80 / $696.29 / $947.05	Facility		$352.80	$696.29	$947.05
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $168.87 / $168.87 / $168.87	Professional		$168.87	$168.87	$168.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.61 / $43.73 / $98.86	Professional		$10.61	$43.73	$98.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $57.82 / $72.84 / $111.59	Professional		$57.82	$72.84	$111.59
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.94 / $59.93 / $90.35	Professional		$50.94	$59.93	$90.35
United Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $57.87 / $99.78	Professional		$40.06	$57.87	$99.78