Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $8.51 / $102.33 / $831.76	Facility		$8.51	$102.33	$831.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $3.98 / $56.23 / $177.83	Professional		$3.98	$56.23	$177.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2.51 / $3.16 / $3.63	Professional		$2.51	$3.16	$3.63
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $33.11	Facility		$27.54	$27.54	$33.11
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $3.89 / $8.32 / $12.30	Professional		$3.89	$8.32	$12.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $5.13 / $11.48 / $23.99	Facility		$5.13	$11.48	$23.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $3.39 / $5.37 / $7.76	Professional		$3.39	$5.37	$7.76
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $2.63 / $5.89	Professional		$2.09	$2.63	$5.89
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $5.25 / $10,471.29 / $25,118.86	Facility		$5.25	$10,471.29	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $4.79 / $5.89	Professional		$4.57	$4.79	$5.89
United Facility/Professional Facility Modifier Low / Median / High Price $2.45 / $5.25 / $10.72	Facility		$2.45	$5.25	$10.72
United Facility/Professional Professional Modifier Low / Median / High Price $2.09 / $3.16 / $7.59	Professional		$2.09	$3.16	$7.59