Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.16 / $27.70 / $122.51	Facility		$12.16	$27.70	$122.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.19 / $13.28 / $18.52	Professional		$11.19	$13.28	$18.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.11 / $11.11 / $11.58	Professional		$11.11	$11.11	$11.58
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $35.67 / $137.10 / $1,183.98	Facility		$35.67	$137.10	$1,183.98
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.89 / $20.65 / $24.65	Professional		$13.89	$20.65	$24.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $41.14 / $84.87	Facility		$12.95	$41.14	$84.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.88 / $10.54 / $21.06	Professional		$8.88	$10.54	$21.06
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.41 / $10.19 / $14.82	Professional		$7.41	$10.19	$14.82
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $13,785.00 / $13,785.00	Facility		$12.96	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $12.96 / $12.96	Professional		$12.35	$12.96	$12.96
United Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $11.11 / $20.00	Professional		$6.81	$11.11	$20.00