Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $44.34 / $125.00	Facility		$10.52	$44.34	$125.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.06 / $11.85 / $16.26	Professional		$10.06	$11.85	$16.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.44 / $9.44 / $9.44	Professional		$9.44	$9.44	$9.44
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $107.71 / $245.93 / $765.10	Facility		$107.71	$245.93	$765.10
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.19 / $20.65 / $24.65	Professional		$10.19	$20.65	$24.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.51 / $30.31 / $62.32	Facility		$9.51	$30.31	$62.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $11.24 / $19.62	Professional		$8.74	$11.24	$19.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $7.48 / $10.88	Professional		$5.44	$7.48	$10.88
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.52 / $8,702.00 / $13,785.00	Facility		$9.52	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.52 / $9.52 / $12.50	Professional		$9.52	$9.52	$12.50
United Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $8.16 / $19.00	Professional		$4.76	$8.16	$19.00