Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.98 / $53.46 / $172.69	Facility		$13.98	$53.46	$172.69
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.41 / $16.07 / $21.60	Professional		$13.41	$16.07	$21.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.02 / $15.07 / $15.07	Professional		$13.02	$15.07	$15.07
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $116.45 / $116.45 / $119.19	Facility		$116.45	$116.45	$119.19
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $18.07 / $18.07 / $32.74	Professional		$18.07	$18.07	$32.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.85 / $53.41 / $110.48	Facility		$16.85	$53.41	$110.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.81 / $18.32 / $35.11	Professional		$11.81	$18.32	$35.11
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.64 / $13.26 / $19.29	Professional		$9.64	$13.26	$19.29
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.88 / $8,702.00 / $13,785.00	Facility		$16.88	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.88 / $16.88 / $17.34	Professional		$16.88	$16.88	$17.34
United Facility/Professional Professional Modifier Low / Median / High Price $9.33 / $14.47 / $25.23	Professional		$9.33	$14.47	$25.23