Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.70 / $49.08 / $134.85	Facility		$14.70	$49.08	$134.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.87 / $12.78 / $14.70	Professional		$10.87	$12.78	$14.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.41 / $7.35 / $10.21	Professional		$4.41	$7.35	$10.21
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $36.61 / $135.83 / $1,055.00	Facility		$36.61	$135.83	$1,055.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.03 / $12.72 / $26.66	Professional		$11.03	$12.72	$26.66
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.27 / $32.47 / $67.36	Facility		$10.27	$32.47	$67.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $14.82 / $26.59	Professional		$9.60	$14.82	$26.59
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.76 / $8.67 / $12.63	Professional		$6.76	$8.67	$12.63
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.29 / $8,702.00 / $13,785.00	Facility		$10.29	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.29 / $10.29 / $13.51	Professional		$10.29	$10.29	$13.51
United Facility/Professional Professional Modifier Low / Median / High Price $5.88 / $8.82 / $21.78	Professional		$5.88	$8.82	$21.78