Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.55 / $107.71 / $360.51	Facility		$27.55	$107.71	$360.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.48 / $66.54 / $88.72	Professional		$21.48	$66.54	$88.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $12.13 / $12.13 / $15.27	Professional		$12.13	$12.13	$15.27
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $59.57 / $216.96 / $5,904.42	Facility		$59.57	$216.96	$5,904.42
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $6.00 / $19.09 / $60.64	Professional		$6.00	$19.09	$60.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $17.78 / $56.30 / $116.62	Facility		$17.78	$56.30	$116.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $16.36 / $20.78 / $36.44	Professional		$16.36	$20.78	$36.44
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.18 / $14.00 / $20.36	Professional		$10.18	$14.00	$20.36
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $17.82 / $13,785.00 / $13,785.00	Facility		$17.82	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $17.82 / $17.82 / $24.44	Professional		$17.82	$17.82	$24.44
United Facility/Professional Facility Modifier Low / Median / High Price $8.91 / $17.46 / $18.14	Facility		$8.91	$17.46	$18.14
United Facility/Professional Professional Modifier Low / Median / High Price $9.85 / $15.27 / $35.54	Professional		$9.85	$15.27	$35.54