Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.39 / $65.05 / $172.39	Facility		$18.39	$65.05	$172.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $16.47 / $18.39	Professional		$13.79	$16.47	$18.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.77 / $11.03 / $12.78	Professional		$8.77	$11.03	$12.78
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $41.91 / $172.39 / $1,490.71	Facility		$41.91	$172.39	$1,490.71
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.79 / $30.51 / $42.00	Professional		$13.79	$30.51	$42.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.85 / $40.42 / $84.27	Facility		$12.85	$40.42	$84.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.76 / $15.05 / $26.33	Professional		$11.76	$15.05	$26.33
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $10.85 / $18.39	Professional		$8.46	$10.85	$18.39
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.87 / $18.39 / $13,785.00	Facility		$12.87	$18.39	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.87 / $12.87 / $17.66	Professional		$12.87	$12.87	$17.66
United Facility/Professional Facility Modifier Low / Median / High Price $10.11 / $10.11 / $10.11	Facility		$10.11	$10.11	$10.11
United Facility/Professional Professional Modifier Low / Median / High Price $7.36 / $11.03 / $25.70	Professional		$7.36	$11.03	$25.70