Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.96 / $73.25 / $215.00	Facility		$18.96	$73.25	$215.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.08 / $16.48 / $21.80	Professional		$14.08	$16.48	$21.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.03 / $11.38 / $13.17	Professional		$9.03	$11.38	$13.17
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $48.51 / $234.75 / $972.94	Facility		$48.51	$234.75	$972.94
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.22 / $31.55 / $34.40	Professional		$14.22	$31.55	$34.40
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $41.86 / $86.88	Facility		$13.25	$41.86	$86.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $15.48 / $27.36	Professional		$12.23	$15.48	$27.36
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $11.19 / $18.96	Professional		$8.72	$11.19	$18.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $13,785.00 / $13,785.00	Facility		$8,702.00	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.27 / $13.27 / $17.23	Professional		$13.27	$13.27	$17.23
United Facility/Professional Facility Modifier Low / Median / High Price $10.43 / $10.43 / $10.43	Facility		$10.43	$10.43	$10.43
United Facility/Professional Professional Modifier Low / Median / High Price $7.96 / $11.38 / $28.09	Professional		$7.96	$11.38	$28.09