Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.53 / $28.10 / $96.46	Facility		$11.53	$28.10	$96.46
Aetna Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $10.03 / $20.26	Professional		$8.65	$10.03	$20.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $6.92 / $6.92 / $7.21	Professional		$6.92	$6.92	$7.21
AmeriHealth Facility/Professional Facility Modifier Low / Median / High Price $11.14 / $39.15 / $515.52	Facility		$11.14	$39.15	$515.52
AmeriHealth Facility/Professional Professional Modifier Low / Median / High Price $8.65 / $52.65 / $84.93	Professional		$8.65	$52.65	$84.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $8.06 / $14.59 / $34.14	Facility		$8.06	$14.59	$34.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $6.11 / $12.65 / $16.52	Professional		$6.11	$12.65	$16.52
Emblem Health Facility/Professional Professional Modifier Low / Median / High Price $4.61 / $6.34 / $6.98	Professional		$4.61	$6.34	$6.98
Horizon BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,702.00 / $8,702.00 / $12,381.00	Facility		$8,702.00	$8,702.00	$12,381.00
Horizon BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.22 / $9.22 / $10.56	Professional		$9.22	$9.22	$10.56
United Facility/Professional Professional Modifier Low / Median / High Price $4.46 / $6.92 / $12.45	Professional		$4.46	$6.92	$12.45