Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.28 / $25.79 / $120.53	Facility		$10.28	$25.79	$120.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.86 / $11.95 / $14.02	Professional		$9.86	$11.95	$14.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $9.22 / $9.22	Professional		$9.22	$9.22	$9.22
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $96.30 / $96.30 / $142.10	Facility		$96.30	$96.30	$142.10
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $22.17 / $22.17 / $22.17	Professional		$22.17	$22.17	$22.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $29.59 / $60.85	Facility		$12.98	$29.59	$60.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $10.81 / $19.10	Professional		$8.58	$10.81	$19.10
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $7.84 / $10.62	Professional		$6.11	$7.84	$10.62
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.30 / $8,702.00 / $13,785.00	Facility		$9.30	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.30 / $9.30 / $12.20	Professional		$9.30	$9.30	$12.20
United Facility/Professional Professional Modifier Low / Median / High Price $5.14 / $7.97 / $18.55	Professional		$5.14	$7.97	$18.55