Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $60.35 / $301.41	Facility		$13.98	$60.35	$301.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.98 / $16.63 / $32.50	Professional		$13.98	$16.63	$32.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.30 / $13.30 / $13.30	Professional		$13.30	$13.30	$13.30
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $42.70 / $169.67 / $2,821.61	Facility		$42.70	$169.67	$2,821.61
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $28.80 / $28.80 / $32.74	Professional		$28.80	$28.80	$32.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.50 / $49.08 / $101.59	Facility		$15.50	$49.08	$101.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.75 / $14.84 / $32.01	Professional		$11.75	$14.84	$32.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $12.19 / $17.73	Professional		$8.86	$12.19	$17.73
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.52 / $8,702.00 / $13,785.00	Facility		$15.52	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.52 / $15.52 / $16.60	Professional		$15.52	$15.52	$16.60
United Facility/Professional Professional Modifier Low / Median / High Price $8.86 / $13.30 / $23.94	Professional		$8.86	$13.30	$23.94