Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.85 / $70.50 / $237.25	Facility		$13.85	$70.50	$237.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.24 / $15.95 / $16.23	Professional		$13.24	$15.95	$16.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $12.43 / $12.43	Professional		$8.52	$12.43	$12.43
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $44.88 / $198.80 / $2,189.96	Facility		$44.88	$198.80	$2,189.96
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $13.43 / $26.27 / $33.86	Professional		$13.43	$26.27	$33.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $12.51 / $39.70 / $82.02	Facility		$12.51	$39.70	$82.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.44 / $14.63 / $25.81	Professional		$11.44	$14.63	$25.81
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $8.23 / $9.85 / $14.32	Professional		$8.23	$9.85	$14.32
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.53 / $8,702.00 / $13,785.00	Facility		$12.53	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $12.53 / $17.19	Professional		$12.53	$12.53	$17.19
United Facility/Professional Professional Modifier Low / Median / High Price $7.16 / $10.74 / $25.02	Professional		$7.16	$10.74	$25.02