Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.52 / $40.94 / $159.44	Facility		$18.52	$40.94	$159.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $16.48 / $22.14	Professional		$12.96	$16.48	$22.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.56 / $11.11 / $12.86	Professional		$5.56	$11.11	$12.86
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $48.68 / $235.55 / $1,046.51	Facility		$48.68	$235.55	$1,046.51
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $30.69 / $42.00	Professional		$10.19	$30.69	$42.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $41.14 / $84.87	Facility		$12.95	$41.14	$84.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.10 / $21.06 / $33.49	Professional		$12.10	$21.06	$33.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $10.93 / $18.52	Professional		$8.52	$10.93	$18.52
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.96 / $13,785.00 / $13,785.00	Facility		$12.96	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.96 / $12.96 / $16.82	Professional		$12.96	$12.96	$16.82
United Facility/Professional Professional Modifier Low / Median / High Price $7.17 / $11.11 / $20.98	Professional		$7.17	$11.11	$20.98