Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.47 / $36.31 / $114.82	Facility		$10.47	$36.31	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $7.08 / $8.71 / $38.02	Professional		$7.08	$8.71	$38.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.17 / $5.89 / $9.77	Professional		$4.17	$5.89	$9.77
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $64.57 / $138.04 / $223.87	Facility		$64.57	$138.04	$223.87
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $13.49 / $38.90	Professional		$7.24	$13.49	$38.90
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.55 / $21.88 / $44.67	Facility		$9.55	$21.88	$44.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.31 / $10.72 / $17.78	Professional		$6.31	$10.72	$17.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.37 / $10.96	Professional		$3.89	$5.37	$10.96
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.77 / $10,471.29 / $25,118.86	Facility		$9.77	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.51 / $8.91 / $10.96	Professional		$8.51	$8.91	$10.96
United Facility/Professional Facility Modifier Low / Median / High Price $4.57 / $9.77 / $19.95	Facility		$4.57	$9.77	$19.95
United Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $5.89 / $14.13	Professional		$3.89	$5.89	$14.13