Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $12.60 / $51.92 / $290.18	Facility		$12.60	$51.92	$290.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.32 / $20.94 / $24.00	Professional		$10.32	$20.94	$24.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3.60 / $7.20 / $8.33	Professional		$3.60	$7.20	$8.33
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $102.17 / $1,905.71	Facility		$27.54	$102.17	$1,905.71
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $9.00 / $19.89 / $28.60	Professional		$9.00	$19.89	$28.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.39 / $26.70 / $54.99	Facility		$8.39	$26.70	$54.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $7.63 / $9.75 / $17.04	Professional		$7.63	$9.75	$17.04
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.52 / $7.08 / $10.61	Professional		$5.52	$7.08	$10.61
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8.40 / $13,785.00 / $13,785.00	Facility		$8.40	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.40 / $8.40 / $10.91	Professional		$8.40	$8.40	$10.91
United Facility/Professional Professional Modifier Low / Median / High Price $4.80 / $7.20 / $17.78	Professional		$4.80	$7.20	$17.78