Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.52 / $30.76 / $114.66	Facility		$7.52	$30.76	$114.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $5.81 / $6.55 / $8.27	Professional		$5.81	$6.55	$8.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $4.51 / $5.23 / $5.76	Professional		$4.51	$5.23	$5.76
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $22.39 / $132.30 / $1,214.92	Facility		$22.39	$132.30	$1,214.92
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $5.64 / $7.60 / $13.63	Professional		$5.64	$7.60	$13.63
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $16.60 / $34.46	Facility		$5.25	$16.60	$34.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $4.76 / $8.25 / $10.84	Professional		$4.76	$8.25	$10.84
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $4.13 / $6.02	Professional		$3.01	$4.13	$6.02
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.26 / $8,702.00 / $13,785.00	Facility		$5.26	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.26 / $5.26 / $6.91	Professional		$5.26	$5.26	$6.91
United Facility/Professional Professional Modifier Low / Median / High Price $3.01 / $4.51 / $11.15	Professional		$3.01	$4.51	$11.15