Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.23 / $44.46 / $218.26	Facility		$22.23	$44.46	$218.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.44 / $19.32 / $24.45	Professional		$16.44	$19.32	$24.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $13.34 / $14.83	Professional		$6.67	$13.34	$14.83
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $42.81 / $189.92 / $1,548.28	Facility		$42.81	$189.92	$1,548.28
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.67 / $36.71 / $40.32	Professional		$16.67	$36.71	$40.32
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.54 / $49.08 / $101.87	Facility		$15.54	$49.08	$101.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.52 / $22.36 / $40.40	Professional		$14.52	$22.36	$40.40
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.23 / $13.12 / $22.23	Professional		$10.23	$13.12	$22.23
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.56 / $13,785.00 / $13,785.00	Facility		$15.56	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.56 / $15.56 / $21.35	Professional		$15.56	$15.56	$21.35
United Facility/Professional Professional Modifier Low / Median / High Price $8.61 / $13.34 / $31.07	Professional		$8.61	$13.34	$31.07