Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.86 / $48.19 / $194.35	Facility		$20.86	$48.19	$194.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.43 / $18.05 / $24.96	Professional		$15.43	$18.05	$24.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.26 / $12.52 / $14.49	Professional		$6.26	$12.52	$14.49
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $53.63 / $256.00 / $1,383.31	Facility		$53.63	$256.00	$1,383.31
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $11.47 / $34.43 / $37.84	Professional		$11.47	$34.43	$37.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.58 / $46.19 / $95.59	Facility		$14.58	$46.19	$95.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $21.01 / $37.75	Professional		$13.63	$21.01	$37.75
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.60 / $12.31 / $20.86	Professional		$9.60	$12.31	$20.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.60 / $6,950.00 / $13,785.00	Facility		$14.60	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $14.60 / $19.18	Professional		$14.60	$14.60	$19.18
United Facility/Professional Professional Modifier Low / Median / High Price $8.76 / $12.52 / $23.64	Professional		$8.76	$12.52	$23.64