Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.55 / $53.50 / $142.60	Facility		$14.55	$53.50	$142.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.95 / $16.80 / $18.79	Professional		$13.95	$16.80	$18.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.96 / $11.27 / $13.05	Professional		$8.96	$11.27	$13.05
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $37.61 / $137.03 / $709.70	Facility		$37.61	$137.03	$709.70
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $14.09 / $30.67 / $34.10	Professional		$14.09	$30.67	$34.10
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.13 / $41.14 / $86.10	Facility		$13.13	$41.14	$86.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.07 / $15.48 / $26.85	Professional		$12.07	$15.48	$26.85
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.64 / $11.09 / $17.23	Professional		$8.64	$11.09	$17.23
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.15 / $8,702.00 / $13,785.00	Facility		$13.15	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.15 / $13.15 / $17.27	Professional		$13.15	$13.15	$17.27
United Facility/Professional Professional Modifier Low / Median / High Price $7.89 / $11.27 / $26.26	Professional		$7.89	$11.27	$26.26