Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.59 / $28.33 / $152.88	Facility		$14.59	$28.33	$152.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.29 / $13.00 / $15.39	Professional		$11.29	$13.00	$15.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.30 / $8.75 / $10.13	Professional		$7.30	$8.75	$10.13
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $39.65 / $106.25 / $402.96	Facility		$39.65	$106.25	$402.96
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $20.75 / $26.45	Professional		$10.48	$20.75	$26.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.19 / $32.47 / $66.86	Facility		$10.19	$32.47	$66.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.36 / $11.87 / $19.79	Professional		$9.36	$11.87	$19.79
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.71 / $8.02 / $11.67	Professional		$6.71	$8.02	$11.67
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.21 / $14.59 / $13,785.00	Facility		$10.21	$14.59	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.21 / $10.21 / $10.21	Professional		$10.21	$10.21	$10.21
United Facility/Professional Professional Modifier Low / Median / High Price $6.13 / $8.75 / $16.53	Professional		$6.13	$8.75	$16.53