Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.10 / $47.14 / $129.74	Facility		$13.10	$47.14	$129.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $14.78 / $18.63	Professional		$11.86	$14.78	$18.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $5.08 / $10.16 / $12.98	Professional		$5.08	$10.16	$12.98
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $43.56 / $179.17 / $1,349.73	Facility		$43.56	$179.17	$1,349.73
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $26.60 / $30.72	Professional		$12.71	$26.60	$30.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $11.83 / $37.53 / $77.63	Facility		$11.83	$37.53	$77.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.06 / $16.97 / $30.84	Professional		$11.06	$16.97	$30.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $7.79 / $9.32 / $13.55	Professional		$7.79	$9.32	$13.55
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $11.86 / $13,785.00 / $13,785.00	Facility		$11.86	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.86 / $11.86 / $15.57	Professional		$11.86	$11.86	$15.57
United Facility/Professional Professional Modifier Low / Median / High Price $7.11 / $10.16 / $19.20	Professional		$7.11	$10.16	$19.20