Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.32 / $62.00 / $186.00	Facility		$19.32	$62.00	$186.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $21.71 / $22.59	Professional		$18.71	$21.71	$22.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.97 / $14.97 / $17.32	Professional		$14.97	$14.97	$17.32
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $192.80 / $192.80 / $192.80	Facility		$192.80	$192.80	$192.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $18.71 / $40.15 / $45.26	Professional		$18.71	$40.15	$45.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.43 / $54.85 / $114.33	Facility		$17.43	$54.85	$114.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $24.29 / $35.61	Professional		$16.30	$24.29	$35.61
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $14.72 / $24.95	Professional		$11.48	$14.72	$24.95
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.47 / $8,702.00 / $13,785.00	Facility		$17.47	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.47 / $17.47 / $22.67	Professional		$17.47	$17.47	$22.67
United Facility/Professional Facility Modifier Low / Median / High Price $13.72 / $22.46 / $29.94	Facility		$13.72	$22.46	$29.94
United Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $14.97 / $34.88	Professional		$10.48	$14.97	$34.88