Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.57 / $42.73 / $194.74	Facility		$18.57	$42.73	$194.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $16.59 / $22.23	Professional		$13.74	$16.59	$22.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $11.15 / $12.91	Professional		$5.57	$11.15	$12.91
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $46.98 / $196.82 / $1,019.83	Facility		$46.98	$196.82	$1,019.83
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $30.84 / $42.00	Professional		$10.22	$30.84	$42.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.99 / $41.14 / $85.14	Facility		$12.99	$41.14	$85.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.14 / $21.06 / $33.49	Professional		$12.14	$21.06	$33.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.55 / $10.96 / $18.57	Professional		$8.55	$10.96	$18.57
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $13.01 / $8,702.00 / $13,785.00	Facility		$13.01	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.01 / $13.01 / $17.84	Professional		$13.01	$13.01	$17.84
United Facility/Professional Professional Modifier Low / Median / High Price $7.43 / $11.15 / $25.97	Professional		$7.43	$11.15	$25.97