Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $34.95 / $121.51	Facility		$13.98	$34.95	$121.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $14.09 / $21.67	Professional		$12.64	$14.09	$21.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.54 / $12.54 / $12.54	Professional		$12.54	$12.54	$12.54
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $17.85 / $17.85 / $295.80	Facility		$17.85	$17.85	$295.80
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.55 / $13.55 / $32.74	Professional		$13.55	$13.55	$32.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.62 / $39.70 / $82.76	Facility		$12.62	$39.70	$82.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.60 / $14.84 / $25.81	Professional		$11.60	$14.84	$25.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.31 / $10.66 / $18.05	Professional		$8.31	$10.66	$18.05
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.64 / $13,785.00 / $13,785.00	Facility		$12.64	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.64 / $12.64 / $16.39	Professional		$12.64	$12.64	$16.39
United Facility/Professional Professional Modifier Low / Median / High Price $7.22 / $10.84 / $20.46	Professional		$7.22	$10.84	$20.46