Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.75 / $68.19 / $210.89	Facility		$18.75	$68.19	$210.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $14.60 / $32.60	Professional		$12.10	$14.60	$32.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $9.77 / $12.49	Professional		$7.77	$9.77	$12.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $48.46 / $170.00 / $2,106.76	Facility		$48.46	$170.00	$2,106.76
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.23 / $26.93 / $29.58	Professional		$12.23	$26.93	$29.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.39 / $36.09 / $74.69	Facility		$11.39	$36.09	$74.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.49 / $13.36 / $23.23	Professional		$10.49	$13.36	$23.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.50 / $9.61 / $16.30	Professional		$7.50	$9.61	$16.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.41 / $8,702.00 / $13,785.00	Facility		$11.41	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.41 / $11.41 / $14.98	Professional		$11.41	$11.41	$14.98
United Facility/Professional Professional Modifier Low / Median / High Price $6.52 / $9.77 / $24.15	Professional		$6.52	$9.77	$24.15