Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $17.55 / $61.28 / $404.46	Facility		$17.55	$61.28	$404.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.31 / $17.71 / $19.87	Professional		$15.31	$17.71	$19.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $14.14 / $14.14 / $14.14	Professional		$14.14	$14.14	$14.14
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $237.54 / $4,621.64	Facility		$57.75	$237.54	$4,621.64
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $17.68 / $30.85 / $47.17	Professional		$17.68	$30.85	$47.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $16.47 / $51.97 / $108.01	Facility		$16.47	$51.97	$108.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.71 / $16.11 / $34.07	Professional		$12.71	$16.11	$34.07
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $10.84 / $12.96 / $18.86	Professional		$10.84	$12.96	$18.86
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $16.50 / $6,950.00 / $13,785.00	Facility		$16.50	$6,950.00	$13,785.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.50 / $16.50 / $18.18	Professional		$16.50	$16.50	$18.18
United Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $12.62 / $25.46	Professional		$9.90	$12.62	$25.46