Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.40 / $259.52 / $742.72	Facility		$59.40	$259.52	$742.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.74 / $49.55 / $72.33	Professional		$24.74	$49.55	$72.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $51.70 / $58.85 / $58.85	Professional		$51.70	$58.85	$58.85
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $1,208.50 / $1,208.50 / $3,002.52	Facility		$1,208.50	$1,208.50	$3,002.52
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $42.05 / $59.74 / $73.09	Professional		$42.05	$59.74	$73.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $61.58 / $61.58 / $61.58	Facility		$61.58	$61.58	$61.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.80 / $48.80 / $48.80	Professional		$48.80	$48.80	$48.80
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $60.65 / $77.09 / $104.92	Professional		$60.65	$77.09	$104.92
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.00 / $51.77 / $53.30	Professional		$44.00	$51.77	$53.30
United Facility/Professional Professional Modifier Low / Median / High Price $27.89 / $54.05 / $104.40	Professional		$27.89	$54.05	$104.40