Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.27 / $42.73 / $161.09	Facility		$17.27	$42.73	$161.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.41 / $23.08 / $34.54	Professional		$9.41	$23.08	$34.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $10.80 / $37.50	Professional		$9.33	$10.80	$37.50
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $16.68 / $51.93 / $1,080.86	Facility		$16.68	$51.93	$1,080.86
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.95 / $21.48 / $84.09	Professional		$12.95	$21.48	$84.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.07 / $21.85 / $51.69	Facility		$12.07	$21.85	$51.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.15 / $18.95 / $24.78	Professional		$9.15	$18.95	$24.78
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.91 / $9.50 / $10.46	Professional		$6.91	$9.50	$10.46
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $8,702.00	Facility		$8,702.00	$8,702.00	$8,702.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.23 / $11.23 / $13.82	Professional		$11.23	$11.23	$13.82
United Facility/Professional Professional Modifier Low / Median / High Price $6.04 / $10.36 / $17.70	Professional		$6.04	$10.36	$17.70