Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.75 / $55.04 / $277.20	Facility		$12.75	$55.04	$277.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.35 / $14.75 / $16.46	Professional		$12.35	$14.75	$16.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.88 / $9.88 / $11.43	Professional		$9.88	$9.88	$11.43
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $201.84 / $2,951.35	Facility		$41.91	$201.84	$2,951.35
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.83 / $12.35 / $29.87	Professional		$6.83	$12.35	$29.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $36.09 / $75.43	Facility		$11.51	$36.09	$75.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.76 / $16.70 / $29.78	Professional		$10.76	$16.70	$29.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.57 / $9.71 / $13.17	Professional		$7.57	$9.71	$13.17
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.52 / $13,785.00 / $13,785.00	Facility		$11.52	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.52 / $11.52 / $15.13	Professional		$11.52	$11.52	$15.13
United Facility/Professional Facility Modifier Low / Median / High Price $7.74 / $16.46 / $33.78	Facility		$7.74	$16.46	$33.78
United Facility/Professional Professional Modifier Low / Median / High Price $6.37 / $9.88 / $23.01	Professional		$6.37	$9.88	$23.01