Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.85 / $63.10 / $371.54	Facility		$15.85	$63.10	$371.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $13.49 / $316.23	Professional		$12.02	$13.49	$316.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $8.91 / $8.91 / $10.47	Professional		$8.91	$8.91	$10.47
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $91.20 / $91.20 / $97.72	Facility		$91.20	$91.20	$97.72
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $24.55 / $35.48	Professional		$24.55	$24.55	$35.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $14.79 / $33.11 / $69.18	Facility		$14.79	$33.11	$69.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $9.77 / $15.14 / $22.91	Professional		$9.77	$15.14	$22.91
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $7.59 / $16.98	Professional		$6.03	$7.59	$16.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $9,772.37 / $25,118.86	Facility		$15.14	$9,772.37	$25,118.86
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.18 / $13.80 / $16.60	Professional		$13.18	$13.80	$16.60
United Facility/Professional Facility Modifier Low / Median / High Price $7.08 / $15.14 / $30.90	Facility		$7.08	$15.14	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $6.03 / $8.91 / $21.88	Professional		$6.03	$8.91	$21.88