Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.25 / $33.69 / $183.01	Facility		$15.25	$33.69	$183.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.74 / $14.92 / $21.21	Professional		$12.74	$14.92	$21.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.19 / $12.73 / $13.26	Professional		$8.19	$12.73	$13.26
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $42.41 / $154.46 / $3,173.88	Facility		$42.41	$154.46	$3,173.88
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.91 / $27.21 / $29.85	Professional		$15.91	$27.21	$29.85
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.82 / $46.91 / $97.19	Facility		$14.82	$46.91	$97.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.75 / $13.57 / $30.46	Professional		$10.75	$13.57	$30.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.76 / $12.51 / $18.57	Professional		$9.76	$12.51	$18.57
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $8,702.00 / $13,785.00	Facility		$14.85	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.85 / $14.85 / $15.80	Professional		$14.85	$14.85	$15.80
United Facility/Professional Professional Modifier Low / Median / High Price $8.48 / $12.73 / $24.38	Professional		$8.48	$12.73	$24.38