Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.20 / $38.00 / $136.97	Facility		$15.20	$38.00	$136.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.20 / $18.98 / $19.28	Professional		$15.20	$18.98	$19.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.76 / $12.76 / $14.77	Professional		$12.76	$12.76	$14.77
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $42.57 / $206.00 / $6,825.48	Facility		$42.57	$206.00	$6,825.48
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.95 / $33.29 / $38.54	Professional		$15.95	$33.29	$38.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.85 / $46.91 / $97.42	Facility		$14.85	$46.91	$97.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.66 / $17.39 / $30.46	Professional		$13.66	$17.39	$30.46
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $12.54 / $20.71	Professional		$9.77	$12.54	$20.71
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.88 / $8,702.00 / $13,785.00	Facility		$14.88	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.88 / $14.88 / $18.87	Professional		$14.88	$14.88	$18.87
United Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $12.76 / $29.11	Professional		$8.23	$12.76	$29.11