Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.00 / $72.53 / $465.37	Facility		$17.00	$72.53	$465.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2.80 / $8.57 / $9.71	Professional		$2.80	$8.57	$9.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1.61 / $2.73 / $5.30	Professional		$1.61	$2.73	$5.30
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $3.37 / $33.60 / $262.95	Facility		$3.37	$33.60	$262.95
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $1.95 / $6.00 / $12.54	Professional		$1.95	$6.00	$12.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2.29 / $10.62 / $15.52	Facility		$2.29	$10.62	$15.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1.44 / $2.89 / $4.66	Professional		$1.44	$2.89	$4.66
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.49 / $3.94 / $5.05	Professional		$2.49	$3.94	$5.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,785.00 / $13,785.00 / $16,128.00	Facility		$13,785.00	$13,785.00	$16,128.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.52 / $2.52 / $3.00	Professional		$2.52	$2.52	$3.00
United Facility/Professional Professional Modifier Low / Median / High Price $1.50 / $2.10 / $4.55	Professional		$1.50	$2.10	$4.55