Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.51 / $29.49 / $153.77	Facility		$11.51	$29.49	$153.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.30 / $11.22 / $14.16	Professional		$10.30	$11.22	$14.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.72 / $8.94 / $8.94	Professional		$7.72	$8.94	$8.94
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $33.00 / $120.20 / $1,873.92	Facility		$33.00	$120.20	$1,873.92
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $20.21 / $23.35	Professional		$9.65	$20.21	$23.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.00 / $28.15 / $58.97	Facility		$9.00	$28.15	$58.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $14.12 / $20.02	Professional		$8.26	$14.12	$20.02
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.92 / $7.08 / $10.30	Professional		$5.92	$7.08	$10.30
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.01 / $8,702.00 / $13,785.00	Facility		$9.01	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.01 / $9.01 / $11.83	Professional		$9.01	$9.01	$11.83
United Facility/Professional Professional Modifier Low / Median / High Price $5.47 / $8.30 / $17.98	Professional		$5.47	$8.30	$17.98