Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.24 / $47.42 / $169.53	Facility		$15.24	$47.42	$169.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.01 / $14.38 / $17.07	Professional		$12.01	$14.38	$17.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.71 / $9.71 / $11.23	Professional		$7.71	$9.71	$11.23
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $32.26 / $118.27	Facility		$14.13	$32.26	$118.27
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $26.59 / $29.33	Professional		$12.14	$26.59	$29.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.30 / $35.36 / $74.14	Facility		$11.30	$35.36	$74.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $13.15 / $23.23	Professional		$10.33	$13.15	$23.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.44 / $9.55 / $12.94	Professional		$7.44	$9.55	$12.94
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.33 / $8,702.00 / $13,785.00	Facility		$11.33	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.33 / $11.33 / $15.53	Professional		$11.33	$11.33	$15.53
United Facility/Professional Professional Modifier Low / Median / High Price $6.47 / $9.71 / $22.61	Professional		$6.47	$9.71	$22.61