Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.38 / $43.65 / $151.36	Facility		$17.38	$43.65	$151.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $13.80 / $48.98	Professional		$10.96	$13.80	$48.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.72 / $10.72 / $10.72	Professional		$10.72	$10.72	$10.72
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $199.53 / $199.53 / $199.53	Facility		$199.53	$199.53	$199.53
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.46 / $11.48 / $28.84	Professional		$6.46	$11.48	$28.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $33.88 / $70.79	Facility		$15.14	$33.88	$70.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $14.79 / $23.44	Professional		$10.00	$14.79	$23.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $7.59 / $17.38	Professional		$6.17	$7.59	$17.38
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.49 / $9,772.37 / $25,118.86	Facility		$15.49	$9,772.37	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $14.13 / $16.98	Professional		$13.49	$14.13	$16.98
United Facility/Professional Facility Modifier Low / Median / High Price $7.24 / $15.49 / $31.62	Facility		$7.24	$15.49	$31.62
United Facility/Professional Professional Modifier Low / Median / High Price $6.17 / $9.12 / $22.39	Professional		$6.17	$9.12	$22.39