Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.95 / $48.69 / $137.63	Facility		$12.95	$48.69	$137.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $11.56 / $12.95	Professional		$9.61	$11.56	$12.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $7.77 / $7.77 / $8.99	Professional		$7.77	$7.77	$8.99
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $29.52 / $121.42 / $834.79	Facility		$29.52	$121.42	$834.79
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $21.62 / $30.86	Professional		$9.71	$21.62	$30.86
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.05 / $28.87 / $59.34	Facility		$9.05	$28.87	$59.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.46 / $12.67 / $23.39	Professional		$8.46	$12.67	$23.39
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.96 / $7.64 / $10.36	Professional		$5.96	$7.64	$10.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.07 / $8,702.00 / $13,785.00	Facility		$9.07	$8,702.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.07 / $9.07 / $11.90	Professional		$9.07	$9.07	$11.90
United Facility/Professional Professional Modifier Low / Median / High Price $5.44 / $7.77 / $14.73	Professional		$5.44	$7.77	$14.73