Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $52.48 / $416.87	Facility		$9.77	$52.48	$416.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $6.92 / $22.91	Professional		$6.03	$6.92	$22.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.27 / $5.25 / $8.51	Professional		$4.27	$5.25	$8.51
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $66.07 / $134.90 / $239.88	Facility		$66.07	$134.90	$239.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $13.80 / $70.79	Professional		$6.31	$13.80	$70.79
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.32 / $18.62 / $38.90	Facility		$8.32	$18.62	$38.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $10.23 / $13.49	Professional		$5.50	$10.23	$13.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $4.27 / $9.55	Professional		$3.39	$4.27	$9.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $10,715.19 / $25,703.96	Facility		$8.51	$10,715.19	$25,703.96
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $7.76 / $9.55	Professional		$7.41	$7.76	$9.55
United Facility/Professional Facility Modifier Low / Median / High Price $3.98 / $8.51 / $17.38	Facility		$3.98	$8.51	$17.38
United Facility/Professional Professional Modifier Low / Median / High Price $3.31 / $5.13 / $12.30	Professional		$3.31	$5.13	$12.30