Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $9.71 / $40.09 / $107.53	Facility		$9.71	$40.09	$107.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $8.31 / $11.60	Professional		$6.80	$8.31	$11.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.91 / $4.86 / $6.74	Professional		$2.91	$4.86	$6.74
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $28.28 / $133.11 / $687.49	Facility		$28.28	$133.11	$687.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.34 / $13.40 / $23.25	Professional		$5.34	$13.40	$23.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $6.78 / $21.65 / $44.49	Facility		$6.78	$21.65	$44.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.34 / $10.65 / $21.70	Professional		$6.34	$10.65	$21.70
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.47 / $5.73 / $9.71	Professional		$4.47	$5.73	$9.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $6.80 / $8,702.00 / $13,785.00	Facility		$6.80	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.80 / $6.80 / $8.92	Professional		$6.80	$6.80	$8.92
United Facility/Professional Professional Modifier Low / Median / High Price $4.08 / $5.83 / $11.01	Professional		$4.08	$5.83	$11.01