Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.37 / $48.45 / $170.40	Facility		$19.37	$48.45	$170.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.38 / $36.15 / $46.35	Professional		$19.38	$36.15	$46.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.81 / $28.97 / $28.97	Professional		$27.81	$28.97	$28.97
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $55.25 / $55.25 / $55.25	Facility		$55.25	$55.25	$55.25
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $81.20 / $81.20 / $81.20	Professional		$81.20	$81.20	$81.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $32.39 / $102.49 / $212.39	Facility		$32.39	$102.49	$212.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.53 / $24.37 / $50.86	Professional		$9.53	$24.37	$50.86
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $18.54 / $25.49 / $37.08	Professional		$18.54	$25.49	$37.08
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.45 / $3,243.00 / $13,785.00	Facility		$32.45	$3,243.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $13.11 / $15.55	Professional		$13.11	$13.11	$15.55
United Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $10.18 / $31.84	Facility		$9.77	$10.18	$31.84
United Facility/Professional Professional Modifier Low / Median / High Price $16.22 / $23.18 / $30.13	Professional		$16.22	$23.18	$30.13