Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $16.05 / $36.94 / $101.34	Facility		$16.05	$36.94	$101.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.88 / $13.90 / $14.57	Professional		$11.88	$13.90	$14.57
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.65 / $9.64 / $9.64	Professional		$7.65	$9.64	$9.64
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $43.20 / $201.47 / $689.94	Facility		$43.20	$201.47	$689.94
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $25.66 / $29.14	Professional		$12.05	$25.66	$29.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.22 / $35.36 / $73.59	Facility		$11.22	$35.36	$73.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.33 / $13.15 / $23.23	Professional		$10.33	$13.15	$23.23
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $8.83 / $12.85	Professional		$6.42	$8.83	$12.85
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.24 / $13,785.00 / $13,785.00	Facility		$11.24	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.24 / $11.24 / $14.76	Professional		$11.24	$11.24	$14.76
United Facility/Professional Facility Modifier Low / Median / High Price $8.83 / $8.83 / $8.83	Facility		$8.83	$8.83	$8.83
United Facility/Professional Professional Modifier Low / Median / High Price $5.62 / $9.64 / $22.44	Professional		$5.62	$9.64	$22.44