Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.68 / $54.43 / $139.47	Facility		$13.68	$54.43	$139.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.57 / $12.24 / $13.68	Professional		$10.57	$12.24	$13.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $8.21 / $9.50	Professional		$6.52	$8.21	$9.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $37.40 / $37.40 / $81.00	Facility		$37.40	$37.40	$81.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $10.26 / $24.78	Professional		$6.11	$10.26	$24.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.56 / $30.31 / $62.69	Facility		$9.56	$30.31	$62.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.93 / $13.20 / $18.53	Professional		$8.93	$13.20	$18.53
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $7.52 / $10.94	Professional		$5.47	$7.52	$10.94
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.58 / $8,702.00 / $13,785.00	Facility		$9.58	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.58 / $9.58 / $12.57	Professional		$9.58	$9.58	$12.57
United Facility/Professional Professional Modifier Low / Median / High Price $5.30 / $8.21 / $20.26	Professional		$5.30	$8.21	$20.26