Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $48.13 / $255.94	Facility		$9.73	$48.13	$255.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.30 / $6.74 / $8.46	Professional		$6.30	$6.74	$8.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.03 / $5.08 / $5.88	Professional		$4.03	$5.08	$5.88
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $65.34 / $135.15 / $258.50	Facility		$65.34	$135.15	$258.50
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.35 / $14.25 / $70.00	Professional		$6.35	$14.25	$70.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.92 / $18.77 / $38.77	Facility		$5.92	$18.77	$38.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $9.50 / $15.31	Professional		$5.52	$9.50	$15.31
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $4.99 / $7.32	Professional		$3.89	$4.99	$7.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.92 / $8,702.00 / $13,785.00	Facility		$5.92	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $5.92 / $8.11	Professional		$5.92	$5.92	$8.11
United Facility/Professional Facility Modifier Low / Median / High Price $4.65 / $4.65 / $4.65	Facility		$4.65	$4.65	$4.65
United Facility/Professional Professional Modifier Low / Median / High Price $3.28 / $5.08 / $11.83	Professional		$3.28	$5.08	$11.83