Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.98 / $39.79 / $174.06	Facility		$12.98	$39.79	$174.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.08 / $14.63 / $16.77	Professional		$13.08	$14.63	$16.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $11.65 / $11.65	Professional		$10.06	$11.65	$11.65
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $38.25 / $172.39 / $930.24	Facility		$38.25	$172.39	$930.24
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $12.58 / $30.43	Professional		$8.80	$12.58	$30.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.72 / $36.81 / $76.84	Facility		$11.72	$36.81	$76.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.78 / $24.26	Professional		$10.80	$13.78	$24.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $9.22 / $13.42	Professional		$6.71	$9.22	$13.42
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.74 / $13,785.00 / $13,785.00	Facility		$11.74	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.74 / $11.74 / $15.42	Professional		$11.74	$11.74	$15.42
United Facility/Professional Facility Modifier Low / Median / High Price $5.87 / $11.52 / $11.97	Facility		$5.87	$11.52	$11.97
United Facility/Professional Professional Modifier Low / Median / High Price $7.04 / $10.06 / $23.44	Professional		$7.04	$10.06	$23.44