Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.18 / $43.14 / $153.22	Facility		$14.18	$43.14	$153.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $12.67 / $14.18	Professional		$10.64	$12.67	$14.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.25 / $8.51 / $9.84	Professional		$4.25	$8.51	$9.84
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $34.83 / $147.05 / $1,176.41	Facility		$34.83	$147.05	$1,176.41
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $10.64 / $22.65 / $25.71	Professional		$10.64	$22.65	$25.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.91 / $31.03 / $64.98	Facility		$9.91	$31.03	$64.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.06 / $11.66 / $20.65	Professional		$9.06	$11.66	$20.65
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.76 / $7.80 / $11.34	Professional		$5.76	$7.80	$11.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.93 / $13,785.00 / $13,785.00	Facility		$9.93	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.93 / $9.93 / $12.88	Professional		$9.93	$9.93	$12.88
United Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $8.51 / $19.80	Professional		$5.96	$8.51	$19.80