Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $28.18 / $114.82	Facility		$14.45	$28.18	$114.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $12.88 / $33.11	Professional		$10.96	$12.88	$33.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.24 / $8.71 / $10.23	Professional		$7.24	$8.71	$10.23
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $70.79 / $70.79 / $104.71	Facility		$70.79	$70.79	$104.71
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.47 / $20.89 / $26.30	Professional		$10.47	$20.89	$26.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.13 / $32.36 / $67.61	Facility		$14.13	$32.36	$67.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.55 / $14.13 / $21.38	Professional		$9.55	$14.13	$21.38
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $7.24 / $16.60	Professional		$5.89	$7.24	$16.60
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.45 / $10,471.29 / $25,118.86	Facility		$14.45	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.18 / $16.22	Professional		$8.71	$13.18	$16.22
United Facility/Professional Facility Modifier Low / Median / High Price $6.92 / $14.45 / $30.20	Facility		$6.92	$14.45	$30.20
United Facility/Professional Professional Modifier Low / Median / High Price $5.89 / $8.71 / $21.38	Professional		$5.89	$8.71	$21.38