Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.98 / $35.20 / $90.44	Facility		$27.98	$35.20	$90.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $32.75	Professional		$27.99	$27.99	$32.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $28.62 / $28.62 / $28.62	Professional		$28.62	$28.62	$28.62
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $23.21 / $55.12 / $18,895.55	Facility		$23.21	$55.12	$18,895.55
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $53.16 / $53.16 / $53.16	Professional		$53.16	$53.16	$53.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $27.99 / $38.15 / $49.37	Facility		$27.99	$38.15	$49.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $27.99 / $27.99	Professional		$27.99	$27.99	$27.99
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $23.77 / $25.68 / $45.69	Professional		$23.77	$25.68	$45.69
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.59 / $112.19 / $13,785.00	Facility		$55.59	$112.19	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.08 / $23.50 / $30.24	Professional		$23.08	$23.50	$30.24
United Facility/Professional Professional Modifier Low / Median / High Price $27.99 / $29.57 / $37.51	Professional		$27.99	$29.57	$37.51