Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.65 / $36.47 / $160.04	Facility		$11.65	$36.47	$160.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.18 / $13.45 / $17.59	Professional		$11.18	$13.45	$17.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.18 / $9.02 / $10.46	Professional		$7.18	$9.02	$10.46
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $36.68 / $170.10 / $2,266.02	Facility		$36.68	$170.10	$2,266.02
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.27 / $14.68 / $27.31	Professional		$8.27	$14.68	$27.31
Cigna Facility/Professional Facility Modifier Low / Median / High Price $10.52 / $33.20 / $68.95	Facility		$10.52	$33.20	$68.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.84 / $15.09 / $20.42	Professional		$9.84	$15.09	$20.42
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $8.88 / $12.49	Professional		$6.92	$8.88	$12.49
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $10.54 / $8,702.00 / $13,785.00	Facility		$10.54	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $10.54 / $10.54	Professional		$10.54	$10.54	$10.54
United Facility/Professional Professional Modifier Low / Median / High Price $6.40 / $10.54 / $21.03	Professional		$6.40	$10.54	$21.03