Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $51.20 / $110.02	Facility		$13.25	$51.20	$110.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.02 / $9.59 / $13.25	Professional		$7.02	$9.59	$13.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.09 / $7.95 / $9.21	Professional		$7.09	$7.95	$9.21
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $18.07 / $66.78 / $1,382.19	Facility		$18.07	$66.78	$1,382.19
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $25.30 / $25.30 / $48.93	Professional		$25.30	$25.30	$48.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.40 / $28.87 / $60.72	Facility		$10.40	$28.87	$60.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $10.19 / $15.29	Professional		$7.94	$10.19	$15.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.10 / $7.82 / $10.61	Professional		$6.10	$7.82	$10.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.27 / $8,702.00 / $13,785.00	Facility		$9.27	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.27 / $9.27 / $11.76	Professional		$9.27	$9.27	$11.76
United Facility/Professional Facility Modifier Low / Median / High Price $7.29 / $7.29 / $7.29	Facility		$7.29	$7.29	$7.29
United Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $7.95 / $19.09	Professional		$5.30	$7.95	$19.09