Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.02 / $35.84 / $198.86	Facility		$17.02	$35.84	$198.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.32 / $19.17 / $19.95	Professional		$16.32	$19.17	$19.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.19 / $13.19 / $15.28	Professional		$13.19	$13.19	$15.28
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $66.12 / $273.07 / $3,213.56	Facility		$66.12	$273.07	$3,213.56
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.48 / $36.51 / $39.89	Professional		$16.48	$36.51	$39.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.36 / $48.36 / $100.77	Facility		$15.36	$48.36	$100.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $18.02 / $31.49	Professional		$14.14	$18.02	$31.49
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.80 / $12.09 / $17.59	Professional		$8.80	$12.09	$17.59
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.39 / $8,702.00 / $13,785.00	Facility		$15.39	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.39 / $15.39 / $20.21	Professional		$15.39	$15.39	$20.21
United Facility/Professional Professional Modifier Low / Median / High Price $9.24 / $13.19 / $30.73	Professional		$9.24	$13.19	$30.73