Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.50 / $140.86 / $588.16	Facility		$68.50	$140.86	$588.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $80.09 / $95.76	Professional		$54.27	$80.09	$95.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $68.66 / $71.52	Professional		$57.22	$68.66	$71.52
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $66.01 / $243.75 / $2,659.26	Facility		$66.01	$243.75	$2,659.26
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.57 / $102.99 / $302.50	Professional		$16.57	$102.99	$302.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $79.95 / $251.89 / $524.36	Facility		$79.95	$251.89	$524.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.36 / $60.16 / $125.56	Professional		$38.36	$60.16	$125.56
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $15.15 / $57.22 / $68.66	Professional		$15.15	$57.22	$68.66
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,165.00 / $13,785.00 / $13,785.00	Facility		$1,165.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.95 / $63.95 / $78.83	Professional		$63.95	$63.95	$78.83
United Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $68.66 / $81.94	Professional		$40.04	$68.66	$81.94