Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $22.34 / $55.02 / $264.50	Facility		$22.34	$55.02	$264.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $17.29 / $19.47 / $22.34	Professional		$17.29	$19.47	$22.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $10.65 / $13.41 / $15.52	Professional		$10.65	$13.41	$15.52
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $232.79 / $979.49	Facility		$55.57	$232.79	$979.49
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $16.76 / $37.22 / $53.25	Professional		$16.76	$37.22	$53.25
Cigna Facility/Professional Facility Modifier Low / Median / High Price $21.84 / $49.08 / $102.37	Facility		$21.84	$49.08	$102.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $14.60 / $24.51 / $42.29	Professional		$14.60	$24.51	$42.29
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.28 / $13.18 / $22.34	Professional		$10.28	$13.18	$22.34
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $15.64 / $22.34 / $13,785.00	Facility		$15.64	$22.34	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.64 / $15.64 / $15.64	Professional		$15.64	$15.64	$15.64
United Facility/Professional Professional Modifier Low / Median / High Price $9.38 / $13.40 / $33.10	Professional		$9.38	$13.40	$33.10