Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.73 / $265.42 / $817.63	Facility		$76.73	$265.42	$817.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $84.93 / $86.98	Professional		$81.86	$84.93	$86.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.40 / $61.40 / $150.00	Professional		$61.40	$61.40	$150.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $105.37 / $449.28 / $4,065.64	Facility		$105.37	$449.28	$4,065.64
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $124.53 / $154.41	Professional		$99.41	$124.53	$154.41
Cigna Facility/Professional Facility Modifier Low / Median / High Price $86.97 / $86.98 / $112.55	Facility		$86.97	$86.98	$112.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $86.98	Professional		$86.98	$86.98	$86.98
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $99.41 / $99.41 / $99.41	Professional		$99.41	$99.41	$99.41
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.07 / $13,785.00 / $13,785.00	Facility		$97.07	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $99.41 / $99.41	Professional		$60.68	$99.41	$99.41
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $97.41	Professional		$85.27	$85.27	$97.41