Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.02 / $53.25 / $111.69	Facility		$12.02	$53.25	$111.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.39 / $11.70 / $12.17	Professional		$10.39	$11.70	$12.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.06 / $8.96 / $9.33	Professional		$8.06	$8.96	$9.33
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $33.33 / $137.10 / $2,623.14	Facility		$33.33	$137.10	$2,623.14
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.08 / $22.12 / $24.37	Professional		$10.08	$22.12	$24.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.40 / $29.59 / $61.59	Facility		$9.40	$29.59	$61.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.58 / $11.03 / $19.62	Professional		$8.58	$11.03	$19.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.18 / $7.93 / $12.63	Professional		$6.18	$7.93	$12.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.41 / $13.44 / $13,785.00	Facility		$9.41	$13.44	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $9.41 / $12.35	Professional		$9.41	$9.41	$12.35
United Facility/Professional Professional Modifier Low / Median / High Price $5.38 / $8.06 / $19.89	Professional		$5.38	$8.06	$19.89