Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.94 / $63.69 / $179.27	Facility		$16.94	$63.69	$179.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $14.76 / $29.52	Professional		$12.71	$14.76	$29.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $11.76 / $11.76	Professional		$10.16	$11.76	$11.76
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $50.46 / $208.40 / $3,795.48	Facility		$50.46	$208.40	$3,795.48
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $27.78 / $27.78 / $30.72	Professional		$27.78	$27.78	$30.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $37.53 / $77.63	Facility		$11.83	$37.53	$77.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.80 / $13.78 / $24.26	Professional		$10.80	$13.78	$24.26
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $9.99 / $16.94	Professional		$7.79	$9.99	$16.94
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $13,785.00 / $13,785.00	Facility		$11.86	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $11.86 / $15.57	Professional		$11.86	$11.86	$15.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $10.16 / $25.10	Professional		$7.11	$10.16	$25.10