Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.48 / $29.98 / $77.00	Facility		$24.48	$29.98	$77.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.28 / $38.32 / $118.86	Professional		$21.28	$38.32	$118.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.10 / $66.05 / $85.00	Professional		$34.10	$66.05	$85.00
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $164.41 / $164.41 / $164.41	Facility		$164.41	$164.41	$164.41
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $75.20 / $103.20	Professional		$62.00	$75.20	$103.20
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $88.06	Facility		$45.70	$45.70	$88.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $33.36 / $89.09	Professional		$33.36	$33.36	$89.09
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $80.45 / $81.02 / $115.36	Professional		$80.45	$81.02	$115.36
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.82 / $88.06 / $88.06	Professional		$83.82	$88.06	$88.06
United Facility/Professional Professional Modifier Low / Median / High Price $30.90 / $43.93 / $88.06	Professional		$30.90	$43.93	$88.06