Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $20.81 / $51.48 / $188.04	Facility		$20.81	$51.48	$188.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $16.10 / $18.87 / $37.74	Professional		$16.10	$18.87	$37.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.92 / $12.49 / $14.46	Professional		$9.92	$12.49	$14.46
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $52.81 / $195.93 / $1,019.83	Facility		$52.81	$195.93	$1,019.83
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $15.61 / $33.75 / $49.61	Professional		$15.61	$33.75	$49.61
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.54 / $46.19 / $95.36	Facility		$14.54	$46.19	$95.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.35 / $16.96 / $29.94	Professional		$13.35	$16.96	$29.94
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $9.57 / $12.28 / $20.81	Professional		$9.57	$12.28	$20.81
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $14.57 / $13,785.00 / $13,785.00	Facility		$14.57	$13,785.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.57 / $14.57 / $18.89	Professional		$14.57	$14.57	$18.89
United Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $12.49 / $29.07	Professional		$8.32	$12.49	$29.07