Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.44 / $76.97 / $521.99	Facility		$16.44	$76.97	$521.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $8.24 / $10.56	Professional		$7.39	$8.24	$10.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.17 / $5.28 / $7.34	Professional		$3.17	$5.28	$7.34
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $27.90 / $227.50 / $2,143.94	Facility		$27.90	$227.50	$2,143.94
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.92 / $17.27 / $56.00	Professional		$7.92	$17.27	$56.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $7.38 / $23.10 / $48.39	Facility		$7.38	$23.10	$48.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.90 / $11.59 / $21.83	Professional		$6.90	$11.59	$21.83
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.75 / $6.23 / $10.10	Professional		$4.75	$6.23	$10.10
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $7.39 / $13,785.00 / $13,785.00	Facility		$7.39	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.39 / $7.39 / $7.39	Professional		$7.39	$7.39	$7.39
United Facility/Professional Professional Modifier Low / Median / High Price $4.09 / $6.34 / $14.16	Professional		$4.09	$6.34	$14.16