Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.34 / $45.57 / $171.54	Facility		$11.34	$45.57	$171.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $8.27 / $24.81	Professional		$7.79	$8.27	$24.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.43 / $5.58 / $6.46	Professional		$4.43	$5.58	$6.46
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $23.49 / $111.30 / $1,597.57	Facility		$23.49	$111.30	$1,597.57
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.98 / $7.28 / $16.87	Professional		$6.98	$7.28	$16.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.50 / $20.21 / $42.62	Facility		$6.50	$20.21	$42.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.07 / $9.43 / $17.01	Professional		$6.07	$9.43	$17.01
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.28 / $5.49 / $9.30	Professional		$4.28	$5.49	$9.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.51 / $8,702.00 / $13,785.00	Facility		$6.51	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.51 / $6.51 / $8.93	Professional		$6.51	$6.51	$8.93
United Facility/Professional Facility Modifier Low / Median / High Price $5.12 / $5.12 / $5.12	Facility		$5.12	$5.12	$5.12
United Facility/Professional Professional Modifier Low / Median / High Price $3.91 / $5.58 / $13.78	Professional		$3.91	$5.58	$13.78