Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $52.79 / $143.29	Facility		$14.57	$52.79	$143.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $12.97 / $14.57	Professional		$11.99	$12.97	$14.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.29 / $8.74 / $10.11	Professional		$7.29	$8.74	$10.11
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $37.46 / $154.06 / $1,257.86	Facility		$37.46	$154.06	$1,257.86
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.93 / $23.60 / $26.43	Professional		$10.93	$23.60	$26.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.18 / $31.76 / $66.76	Facility		$10.18	$31.76	$66.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $11.87 / $21.17	Professional		$9.36	$11.87	$21.17
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.70 / $8.60 / $14.57	Professional		$6.70	$8.60	$14.57
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $8,702.00 / $13,785.00	Facility		$10.19	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $10.19 / $13.39	Professional		$10.19	$10.19	$13.39
United Facility/Professional Professional Modifier Low / Median / High Price $6.12 / $8.74 / $20.36	Professional		$6.12	$8.74	$20.36