Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $43.65 / $229.09	Facility		$17.78	$43.65	$229.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.49 / $19.05 / $27.54	Professional		$15.49	$19.05	$27.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.49 / $15.14	Professional		$13.18	$13.49	$15.14
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $302.00 / $302.00 / $302.00	Facility		$302.00	$302.00	$302.00
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.60 / $36.31 / $39.81	Professional		$16.60	$36.31	$39.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.38 / $47.86 / $100.00	Facility		$21.38	$47.86	$100.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.45 / $21.38 / $31.62	Professional		$14.45	$21.38	$31.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $10.96 / $25.12	Professional		$8.71	$10.96	$25.12
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $21.88 / $10,232.93 / $25,118.86	Facility		$21.88	$10,232.93	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.50 / $20.42 / $24.55	Professional		$19.50	$20.42	$24.55
United Facility/Professional Facility Modifier Low / Median / High Price $10.23 / $21.88 / $45.71	Facility		$10.23	$21.88	$45.71
United Facility/Professional Professional Modifier Low / Median / High Price $8.71 / $13.18 / $32.36	Professional		$8.71	$13.18	$32.36