Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.09 / $68.36 / $215.67	Facility		$24.09	$68.36	$215.67
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.71 / $17.54 / $34.82	Professional		$15.71	$17.54	$34.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $14.45 / $15.06	Professional		$14.45	$14.45	$15.06
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $45.93 / $169.67 / $7,913.23	Facility		$45.93	$169.67	$7,913.23
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $28.80 / $32.74	Professional		$18.07	$28.80	$32.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.82 / $53.41 / $110.39	Facility		$16.82	$53.41	$110.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $18.32 / $34.59	Professional		$11.81	$18.32	$34.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $13.25 / $19.27	Professional		$9.64	$13.25	$19.27
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.86 / $1,165.00 / $13,785.00	Facility		$16.86	$1,165.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.86 / $16.86 / $17.34	Professional		$16.86	$16.86	$17.34
United Facility/Professional Facility Modifier Low / Median / High Price $13.25 / $13.25 / $24.00	Facility		$13.25	$13.25	$24.00
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.45 / $26.02	Professional		$9.33	$14.45	$26.02