Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.67 / $50.01 / $161.91	Facility		$16.67	$50.01	$161.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.84 / $14.54 / $33.34	Professional		$8.84	$14.54	$33.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $11.58 / $11.58	Professional		$11.58	$11.58	$11.58
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $97.75 / $97.75 / $97.75	Facility		$97.75	$97.75	$97.75
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.50 / $27.64 / $30.25	Professional		$12.50	$27.64	$30.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $36.81 / $76.39	Facility		$11.65	$36.81	$76.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $13.57 / $24.26	Professional		$10.64	$13.57	$24.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.67 / $9.84 / $16.67	Professional		$7.67	$9.84	$16.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.67 / $8,702.00 / $13,785.00	Facility		$11.67	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.67 / $11.67 / $15.32	Professional		$11.67	$11.67	$15.32
United Facility/Professional Professional Modifier Low / Median / High Price $6.67 / $10.00 / $18.00	Professional		$6.67	$10.00	$18.00