Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $13.74 / $55.01 / $188.31	Facility		$13.74	$55.01	$188.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.63 / $11.98 / $14.50	Professional		$10.63	$11.98	$14.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.55 / $8.24 / $10.53	Professional		$6.55	$8.24	$10.53
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $147.72 / $1,769.97	Facility		$29.97	$147.72	$1,769.97
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.00 / $10.31 / $32.74	Professional		$8.00	$10.31	$32.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $9.60 / $30.31 / $62.96	Facility		$9.60	$30.31	$62.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $11.24 / $19.62	Professional		$8.74	$11.24	$19.62
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $7.56 / $10.99	Professional		$5.50	$7.56	$10.99
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $9.61 / $13,785.00 / $13,785.00	Facility		$9.61	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.61 / $9.61 / $9.61	Professional		$9.61	$9.61	$9.61
United Facility/Professional Facility Modifier Low / Median / High Price $7.56 / $7.56 / $7.56	Facility		$7.56	$7.56	$7.56
United Facility/Professional Professional Modifier Low / Median / High Price $5.77 / $8.24 / $19.20	Professional		$5.77	$8.24	$19.20